PATRICIA WYNNE TUCKER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

PATRICIA WYNNE

Last Name

TUCKER

Suffix

DMD

Business Name

PATRICIA WYNNE TUCKER DMD

Original Issue Date

05/29/1996

Effective Date

05/29/1996

Expiration Date

09/30/1996

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005