ROBERT M WYNN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

First Name

ROBERT M

Last Name

WYNN

Suffix

DMD

Business Name

ROBERT M WYNN DMD

Original Issue Date

08/18/1989

Effective Date

07/08/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2024