ALLEN WAYNE WIESE DDS - Dentist License in Illinois | # 019010026

ALLEN WAYNE WIESE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010026

License Status

NOT RENEWED

Business

N

First Name

ALLEN WAYNE

Last Name

WIESE

Suffix

DDS

Business Name

ALLEN WAYNE WIESE DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005