WAYNE W OSTDICK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000629

License Status

NOT RENEWED

Business

First Name

WAYNE W

Last Name

OSTDICK

Suffix

DDS

Business Name

WAYNE W OSTDICK DDS

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005