GREGORY HARRY WAHL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

GREGORY HARRY

Last Name

WAHL

Business Name

GREGORY HARRY WAHL

Original Issue Date

01/01/1998

Effective Date

11/23/2015

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018