RICHARD A WILSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

WILSON

Suffix

DDS

Business Name

RICHARD A WILSON DDS

Original Issue Date

01/01/1998

Effective Date

06/26/2015

Expiration Date

09/30/2018

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018