DUSTIN A WYLDE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

Title

DMD

First Name

DUSTIN

Middle

Last Name

WYLDE

Business Name

DUSTIN A WYLDE DMD

Original Issue Date

07/17/2015

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

BATAVIA

State

Zip

60510

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2024