LIOARA I WIXSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

LIOARA I

Last Name

WIXSON

Suffix

DDS

Business Name

LIOARA I WIXSON DDS

Original Issue Date

11/05/1993

Effective Date

11/05/1993

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/13/2005

Case Number

1994004881

Action

Suspension

Discipline Start Date

07/28/1998