ODIN ALEXANDER WAITE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000990

License Status

ACTIVE

Business

Title

DDS

First Name

ODIN

Middle

ALEXANDER

Last Name

WAITE

Business Name

ODIN ALEXANDER WAITE DDS

Original Issue Date

10/19/2017

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

05/02/2024