DANIEL G VISEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

VISEL

Business Name

DANIEL G VISEL

Original Issue Date

07/07/1989

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/04/2009