LOREN GAIL WILSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

LOREN GAIL

Last Name

WILSON

Suffix

DDS

Business Name

LOREN GAIL WILSON DDS

Original Issue Date

01/01/1998

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

ELDORADO

State

Zip

62930

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022