GREGORY ALFRED WISGOSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016040

License Status

NOT RENEWED

Business

First Name

GREGORY ALFRED

Last Name

WISGOSKI

Suffix

DDS

Business Name

GREGORY ALFRED WISGOSKI DDS

Original Issue Date

07/01/1977

Effective Date

07/01/1977

Expiration Date

09/30/1994

City

LASALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1983000206

Action

Suspension

Discipline Start Date

02/15/1984

Discipline End Date

08/15/1984