GLENN FREDERICK EDMISTON III DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000164

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

01/01/1998

Effective Date

08/24/2009

Expiration Date

09/30/2012

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

11/14/2012