MILES L WILHELM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

MILES L

Last Name

WILHELM

Suffix

DMD

Business Name

MILES L WILHELM DMD

Original Issue Date

06/28/1991

Effective Date

06/28/1991

Expiration Date

09/30/1994

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005