WADE B WILSON 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

WADE

Middle

Last Name

WILSON

Business Name

WADE B WILSON

Original Issue Date

07/23/2019

Effective Date

12/17/2021

Expiration Date

09/30/2024

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025