TWANA M EDWARDS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

TWANA M

Last Name

EDWARDS

Suffix

DDS

Business Name

TWANA M EDWARDS DDS

Original Issue Date

01/31/1996

Effective Date

01/31/1996

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/13/2005