DAVID D WYSE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

First Name

DAVID D

Last Name

WYSE

Suffix

DDS

Business Name

DAVID D WYSE DDS

Original Issue Date

12/13/1999

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024