Paul Daniel Anderson
InactiveIllinois license 019020408
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019020408
- Status
- Inactive
- First issued
- October 21, 1986
- Expired
- September 30, 2012
- License holder
- Paul Daniel Anderson
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/03/2009
Contact
Mahtomedi, MN 55115
Minnesota County