RALPH W EDWARDS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

RALPH W

Last Name

EDWARDS

Suffix

DDS

Business Name

RALPH W EDWARDS DDS

Original Issue Date

09/16/1992

Effective Date

09/16/1992

Expiration Date

09/30/1994

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005