GLENN FREDERICK EDMISTON III DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000893

License Status

NOT RENEWED

Business

First Name

GLENN FREDERICK

Last Name

EDMISTON III

Suffix

DDS

Business Name

GLENN FREDERICK EDMISTON III DDS

Original Issue Date

12/09/1976

Effective Date

08/03/2012

Expiration Date

09/30/2015

City

SHOREWOOD

State

Zip

60404

County

WILL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

02/08/2016