DWIGHT ADRIENNE SIMMONS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

First Name

DWIGHT

Middle

ADRIENNE

Last Name

SIMMONS

Suffix

DDS

Business Name

DWIGHT ADRIENNE SIMMONS DDS

Original Issue Date

07/03/2002

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2024