WAYNE E EDSON DDS - Dentist License in Illinois | # 019016141

WAYNE E EDSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016141

License Status

NOT RENEWED

Business

N

First Name

WAYNE E

Last Name

EDSON

Suffix

DDS

Business Name

WAYNE E EDSON DDS

Original Issue Date

09/22/1977

Effective Date

07/28/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012