EDWIN THOMAS JACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

EDWIN THOMAS

Last Name

JACH

Suffix

DDS

Business Name

EDWIN THOMAS JACH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005