Jack E Anderson
InactiveIllinois license 019010813
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019010813
- Status
- Inactive
- First issued
- November 7, 1955
- Expired
- September 30, 1990
- License holder
- Jack E Anderson
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 11/07/1955
Contact
Vincennes, IN 47591
Indiana County