EDWARD ANTHONY CODO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

EDWARD ANTHONY

Last Name

CODO

Business Name

EDWARD ANTHONY CODO

Original Issue Date

09/17/2021

Effective Date

05/12/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/12/2024