DANIEL BROOKS ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000647

License Status

NOT RENEWED

Business

Title

DDS

First Name

DANIEL

Middle

BROOKS

Last Name

ANDERSON

Business Name

DANIEL BROOKS ANDERSON DDS

Original Issue Date

12/07/1970

Effective Date

12/07/1970

Expiration Date

09/30/2006

City

ELLISON BAY

State

Zip

54210

County

WISCONSIN

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

11/08/2006