SCOTT RICHARD WILSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018582

License Status

ACTIVE

Business

First Name

SCOTT RICHARD

Last Name

WILSON

Business Name

SCOTT RICHARD WILSON

Original Issue Date

07/18/1983

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

ROCHELLE

State

Zip

61068

Ever Disciplined

LastModifiedDate

09/25/2024