EDWARD ANTHONY CODO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

EDWARD ANTHONY

Last Name

CODO

Business Name

EDWARD ANTHONY CODO

Original Issue Date

08/27/1982

Effective Date

06/29/2018

Expiration Date

01/31/2022

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022