WAYNE W BEACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

Last Name

BEACH

Suffix

DDS

Business Name

WAYNE W BEACH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005