DOREEN A WASCOW Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

First Name

DOREEN A

Last Name

WASCOW

Business Name

DOREEN A WASCOW

Original Issue Date

09/26/1988

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2024