TERRY L ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

ANDERSON

Suffix

DDS

Business Name

TERRY L ANDERSON DDS

Original Issue Date

08/04/1981

Effective Date

12/16/2009

Expiration Date

09/30/2012

City

BAYFIELD

State

Zip

54814

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012