EDWARD BRUCE NOAKES III DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

BRUCE

Last Name

NOAKES

Suffix

III DMD

Business Name

EDWARD BRUCE NOAKES III DMD

Original Issue Date

09/04/2003

Effective Date

08/29/2018

Expiration Date

01/31/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022