ROGER M WILLS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

ROGER M

Last Name

WILLS

Business Name

ROGER M WILLS

Original Issue Date

04/26/1994

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022