WAYNE W BEACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012055

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

Last Name

BEACH

Suffix

DDS

Business Name

WAYNE W BEACH DDS

Original Issue Date

08/01/1962

Effective Date

08/01/1962

Expiration Date

09/30/2004

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005