SCOTT C WERTKE 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

SCOTT C

Last Name

WERTKE

Business Name

SCOTT C WERTKE

Original Issue Date

12/06/1984

Effective Date

07/24/2009

Expiration Date

09/30/2012

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012