JEFFREY ALLEN DRYDEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ALLEN

Last Name

DRYDEN

Suffix

DDS

Business Name

JEFFREY ALLEN DRYDEN DDS

Original Issue Date

10/29/2003

Effective Date

10/29/2003

Expiration Date

09/30/2004

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005