PETER RAY WILDMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

PETER RAY

Last Name

WILDMAN

Business Name

PETER RAY WILDMAN

Original Issue Date

07/15/1996

Effective Date

08/09/2018

Expiration Date

01/31/2022

City

STICKNEY

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022