WAYNE W BEACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000615

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

Last Name

BEACH

Suffix

DDS

Business Name

WAYNE W BEACH DDS

Original Issue Date

12/08/1969

Effective Date

12/08/1969

Expiration Date

09/30/2004

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/17/2005