WAYNE ANTHONY WEGMANN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

WAYNE ANTHONY

Last Name

WEGMANN

Business Name

WAYNE ANTHONY WEGMANN

Original Issue Date

02/24/1984

Effective Date

02/24/1984

Expiration Date

09/30/1988

City

NILES

State

Zip

60648

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005

Case Number

1988000477

Action

Suspension

Discipline Start Date

04/21/1989