DEBRA SHARP EDSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

SHARP

Last Name

EDSON

Suffix

DMD

Business Name

DEBRA SHARP EDSON DMD

Original Issue Date

12/22/2008

Effective Date

12/22/2008

Expiration Date

09/30/2009

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/04/2009