EDWARD L HEROD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

EDWARD L

Last Name

HEROD

Business Name

EDWARD L HEROD

Original Issue Date

08/09/1983

Effective Date

08/09/1983

Expiration Date

09/30/1986

City

LEHIGH ACRES

State

Zip

33936

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005