EDWARD DARK STARR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

DARK

Last Name

STARR

Business Name

EDWARD DARK STARR

Original Issue Date

08/27/2018

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022