JOHN WILFRED NYSTUEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

JOHN WILFRED

Last Name

NYSTUEN

Suffix

DDS

Business Name

JOHN WILFRED NYSTUEN DDS

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

ALGONQUIN

State

Zip

60102

County

KANE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005