EDWARD A BUCHANAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

EDWARD A

Last Name

BUCHANAN

Suffix

DDS

Business Name

EDWARD A BUCHANAN DDS

Original Issue Date

03/15/2012

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016