RON B WAPOTISH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

RON B

Last Name

WAPOTISH

Business Name

RON B WAPOTISH

Original Issue Date

10/04/1984

Effective Date

06/25/2018

Expiration Date

01/31/2022

City

LAKEMOOR

State

Zip

60051

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022