DAVID WILLIAM SYDOW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

DAVID WILLIAM

Last Name

SYDOW

Suffix

DDS

Business Name

DAVID WILLIAM SYDOW DDS

Original Issue Date

01/01/1998

Effective Date

08/22/2012

Expiration Date

09/30/2015

City

ELMWOOD

State

Zip

61529

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016