JOSHUA MICHAEL WANSTEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

MICHAEL

Last Name

WANSTEN

Business Name

JOSHUA MICHAEL WANSTEN

Original Issue Date

04/02/2010

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022