DAVID WESLEY BACHELLER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

DAVID WESLEY

Last Name

BACHELLER

Suffix

DMD

Business Name

DAVID WESLEY BACHELLER DMD

Original Issue Date

09/15/1997

Effective Date

09/25/2015

Expiration Date

09/30/2018

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018