ODIN ALEXANDER WAITE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024