KEVIN J WIBICKI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

First Name

KEVIN J

Last Name

WIBICKI

Business Name

KEVIN J WIBICKI

Original Issue Date

06/15/1990

Effective Date

04/15/2025

Expiration Date

09/30/2027

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/15/2025