EDWARD MATTHEW WYDRA DDS - Dentist License in Illinois | # 019011516

EDWARD MATTHEW WYDRA DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011516

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/24/2006