ARTHUR SCOTT VANDERWAAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

Title

DDS

First Name

ARTHUR

Middle

SCOTT

Last Name

VANDERWAAL

Business Name

ARTHUR SCOTT VANDERWAAL DDS

Original Issue Date

06/12/2012

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022