SPENCER DYLAN REGELSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

Title

DDS

First Name

SPENCER

Middle

DYLAN

Last Name

REGELSON

Business Name

SPENCER DYLAN REGELSON DDS

Original Issue Date

06/09/2021

Effective Date

06/09/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025