ZACHARY MARK EDSEY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

First Name

ZACHARY

Middle

MARK

Last Name

EDSEY

Business Name

ZACHARY MARK EDSEY

Original Issue Date

06/28/2019

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

WHEELING

State

Zip

60090

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/21/2024