JEROME WILK MITCHELL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

JEROME WILK

Last Name

MITCHELL

Suffix

DDS

Business Name

JEROME WILK MITCHELL DDS

Original Issue Date

01/01/1998

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024