ELAINE WAITE PIEDRA 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

ELAINE WAITE

Last Name

PIEDRA

Suffix

DDS

Business Name

ELAINE WAITE PIEDRA DDS

Original Issue Date

07/26/1995

Effective Date

06/09/2009

Expiration Date

09/30/2012

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012