MAXWELL EDMUND VANDERPOOL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013932

License Status

NOT RENEWED

Business

First Name

MAXWELL EDMUND

Last Name

VANDERPOOL

Suffix

DDS

Business Name

MAXWELL EDMUND VANDERPOOL DDS

Original Issue Date

07/07/1970

Effective Date

07/07/1970

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005