WAYNE WESLEY MOUNTS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

WAYNE WESLEY

Last Name

MOUNTS

Suffix

DDS

Business Name

WAYNE WESLEY MOUNTS DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005