BRUCE WALTER WISNER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013028

License Status

NOT RENEWED

Business

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

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/31/2018