MEGAN D WIESE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017116

License Status

ACTIVE

Business

First Name

MEGAN

Middle

Last Name

WIESE

Business Name

MEGAN D WIESE

Original Issue Date

11/17/2020

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

MUNDELEIN

State

Zip

60060

County

ADAMS

Ever Disciplined

LastModifiedDate

06/24/2024