PAUL KEVIN WILSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

PAUL KEVIN

Last Name

WILSON

Business Name

PAUL KEVIN WILSON

Original Issue Date

08/09/1982

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024