HERBERT EDWARD SEIDEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

HERBERT EDWARD

Last Name

SEIDEL

Suffix

DDS

Business Name

HERBERT EDWARD SEIDEL DDS

Original Issue Date

01/01/1998

Effective Date

03/08/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012