ROBERT J WIRTZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

ACTIVE

Business

First Name

ROBERT J

Last Name

WIRTZ

Business Name

ROBERT J WIRTZ

Original Issue Date

08/05/1982

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

OAK FOREST

State

Zip

60452

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024