WAYNE E EDSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

WAYNE E

Last Name

EDSON

Suffix

DDS

Business Name

WAYNE E EDSON DDS

Original Issue Date

01/01/1998

Effective Date

07/28/2009

Expiration Date

09/30/2012

City

KENILWORTH

State

Zip

60043

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012