EDWARD J SCHAAF 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 J

Last Name

SCHAAF

Business Name

EDWARD J SCHAAF

Original Issue Date

01/01/1998

Effective Date

01/06/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012