JAMES BENNETT WIESE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

JAMES BENNETT

Last Name

WIESE

Business Name

JAMES BENNETT WIESE

Original Issue Date

08/31/1984

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2024