BRUCE WALTER WISNER DDS - Dentist License in Illinois | # 019013028

BRUCE WALTER WISNER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013028

License Status

NOT RENEWED

Business

N

First Name

BRUCE

Middle

WALTER

Last Name

WISNER

Suffix

DDS

Business Name

BRUCE WALTER WISNER DDS

Original Issue Date

07/29/1966

Effective Date

07/24/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018