EDWARD A CHANEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

Title

DDS

First Name

EDWARD

Middle

Last Name

CHANEY

Business Name

EDWARD A CHANEY DDS

Original Issue Date

12/17/2008

Effective Date

10/02/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60637

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022