COREY M WILSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

COREY

Middle

Last Name

WILSON

Suffix

DDS

Business Name

COREY M WILSON DDS

Original Issue Date

08/09/1982

Effective Date

08/09/1982

Expiration Date

09/30/2004

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005