EDWARD JOSEPH REILLY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

EDWARD JOSEPH

Last Name

REILLY

Business Name

EDWARD JOSEPH REILLY

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005