DARREL RICK EDWARDS - Dentist License in Illinois | # 018000195

DARREL RICK EDWARDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000195

License Status

EXPIRED

Business

N

First Name

DARREL RICK

Last Name

EDWARDS

Business Name

DARREL RICK EDWARDS

Original Issue Date

07/01/1987

Effective Date

07/01/1987

Expiration Date

07/01/1991

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005