EDWIN EARL DALE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008489

License Status

INACTIVE

Business

First Name

EDWIN EARL

Last Name

DALE

Business Name

EDWIN EARL DALE

Original Issue Date

07/29/1943

Effective Date

07/29/1943

Expiration Date

09/30/1992

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005