DANIEL G VISEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

VISEL

Business Name

DANIEL G VISEL

Original Issue Date

11/08/1983

Effective Date

08/04/2015

Expiration Date

09/30/2018

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018