EDWARD MATTHEW WYDRA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011516

License Status

INACTIVE

Business

First Name

EDWARD

Middle

MATTHEW

Last Name

WYDRA

Suffix

DDS

Business Name

EDWARD MATTHEW WYDRA DDS

Original Issue Date

08/05/1959

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2006