ROBERTA E WISUN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

ROBERTA E

Last Name

WISUN

Business Name

ROBERTA E WISUN

Original Issue Date

08/08/1988

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025