JOSHUA MICHAEL WANSTEN Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001724

License Status

EXPIRED

Business

First Name

JOSHUA

Middle

MICHAEL

Last Name

WANSTEN

Business Name

JOSHUA MICHAEL WANSTEN

Original Issue Date

05/28/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/08/2010