CLAIRE WIEDNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

CLAIRE

Last Name

WIEDNER

Business Name

CLAIRE WIEDNER

Original Issue Date

06/26/2015

Effective Date

09/13/2024

Expiration Date

09/30/2027

City

LITCHFIELD

State

Zip

62056

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/13/2024