SCOTT RICHARD WILSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

First Name

SCOTT RICHARD

Last Name

WILSON

Business Name

SCOTT RICHARD WILSON

Original Issue Date

10/10/1983

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ROCHELLE

State

Zip

61068

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/01/2024