DANIEL P WEYRAUCH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

DANIEL P

Last Name

WEYRAUCH

Business Name

DANIEL P WEYRAUCH

Original Issue Date

08/09/1988

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61008

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2024