DAVID WILLIAM SYDOW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

DAVID WILLIAM

Last Name

SYDOW

Suffix

DDS

Business Name

DAVID WILLIAM SYDOW DDS

Original Issue Date

10/18/1990

Effective Date

10/18/1990

Expiration Date

09/30/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005