CHAD R WIERSEMA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002195

License Status

ACTIVE

Business

First Name

CHAD

Middle

Last Name

WIERSEMA

Suffix

DDS

Business Name

CHAD R WIERSEMA DDS

Original Issue Date

08/21/2006

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

HOMEWOOD

State

Zip

60430

County

COOK

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

LastModifiedDate

09/25/2024