JOHN F WONDERLICK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014183

License Status

INACTIVE

Business

First Name

JOHN

Middle

Last Name

WONDERLICK

Suffix

DDS

Business Name

JOHN F WONDERLICK DDS

Original Issue Date

07/08/1971

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2009

Case Number

2009006422

Action

Refuse To Renew

Discipline Start Date

10/14/2009

Discipline Reason

for failure to respond to continuing education audit.