WILSON PAUL HEATON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

WILSON PAUL

Last Name

HEATON

Suffix

DDS

Business Name

WILSON PAUL HEATON DDS

Original Issue Date

11/29/2007

Effective Date

09/25/2009

Expiration Date

09/30/2012

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012