RANDALL EUGENE WILSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019975

License Status

ACTIVE

Business

First Name

RANDALL EUGENE

Last Name

WILSON

Business Name

RANDALL EUGENE WILSON

Original Issue Date

01/24/1986

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/13/2024