ODIN ALEXANDER WAITE DDS - Dentist License in Illinois | # 137000990

ODIN ALEXANDER WAITE DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000990

License Status

ACTIVE

Business

N

Title

DDS

First Name

ODIN

Middle

ALEXANDER

Last Name

WAITE

Business Name

ODIN ALEXANDER WAITE DDS

Original Issue Date

10/19/2017

Effective Date

05/02/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

N

LastModifiedDate

05/02/2024