DANIEL LOUIS EDWARDS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

LOUIS

Last Name

EDWARDS

Suffix

DDS

Business Name

DANIEL LOUIS EDWARDS DDS

Original Issue Date

07/12/1999

Effective Date

07/12/1999

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005