EDWARD H SEGAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000470

License Status

NOT RENEWED

Business

First Name

EDWARD H

Last Name

SEGAL

Suffix

DDS

Business Name

EDWARD H SEGAL DDS

Original Issue Date

07/03/1990

Effective Date

07/03/1990

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005