ROGER T WETZEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

ROGER T

Last Name

WETZEL

Business Name

ROGER T WETZEL

Original Issue Date

08/15/1985

Effective Date

10/10/2021

Expiration Date

09/30/2024

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025