ALAN RICHARD WIELGOS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

ALAN RICHARD

Last Name

WIELGOS

Suffix

DDS

Business Name

ALAN RICHARD WIELGOS DDS

Original Issue Date

01/01/1998

Effective Date

07/20/2015

Expiration Date

09/30/2018

City

ZION

State

Zip

60099

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018