WAYNE E EDSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

WAYNE E

Last Name

EDSON

Suffix

DDS

Business Name

WAYNE E EDSON DDS

Original Issue Date

07/31/1992

Effective Date

07/31/1992

Expiration Date

09/30/1996

City

KENILWORTH

State

Zip

60043

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005