DANIEL EDWARD WILSON Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

CANCELLED

Business

First Name

DANIEL EDWARD

Last Name

WILSON

Business Name

DANIEL EDWARD WILSON

Original Issue Date

09/26/1984

Effective Date

09/26/1984

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005