MARY ELIZABETH HYDES Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

MARY ELIZABETH

Last Name

HYDES

Business Name

MARY ELIZABETH HYDES

Original Issue Date

08/09/2019

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024