EDWARD C MUNOZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

EDWARD C

Last Name

MUNOZ

Business Name

EDWARD C MUNOZ

Original Issue Date

10/29/1992

Effective Date

10/29/1992

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005