MATTHEW SCOTT WENZEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027780

License Status

NOT RENEWED

Business

Title

DMD

First Name

MATTHEW

Middle

SCOTT

Last Name

WENZEL

Business Name

MATTHEW SCOTT WENZEL DMD

Original Issue Date

07/30/2008

Effective Date

07/30/2008

Expiration Date

09/30/2009

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

01/08/2010