GLENN LOUIS DEWEIRDT JR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

GLENN LOUIS

Last Name

DEWEIRDT JR

Business Name

GLENN LOUIS DEWEIRDT JR

Original Issue Date

11/16/1984

Effective Date

07/26/2024

Expiration Date

09/30/2027

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2024