JASON A EDWARDS DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001470

License Status

EXPIRED

Business

First Name

JASON

Middle

Last Name

EDWARDS

Suffix

DMD

Business Name

JASON A EDWARDS DMD

Original Issue Date

07/02/2004

Effective Date

07/17/2008

Expiration Date

12/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

12/31/2008