PAUL DOUGLAS EDGERLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001922

License Status

NOT RENEWED

Business

Title

DDS

First Name

PAUL

Middle

DOUGLAS

Last Name

EDGERLEY

Business Name

PAUL DOUGLAS EDGERLEY DDS

Original Issue Date

07/23/2014

Effective Date

07/23/2014

Expiration Date

06/30/2015

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

01/07/2016