EDWARD LAWRENCE KASPER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

LAWRENCE

Last Name

KASPER

Suffix

DDS

Business Name

EDWARD LAWRENCE KASPER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005