KEITH P WILSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

WILSON

Suffix

DDS

Business Name

KEITH P WILSON DDS

Original Issue Date

06/19/2000

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2024