NANCY G WIBICKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

NANCY G

Last Name

WIBICKI

Business Name

NANCY G WIBICKI

Original Issue Date

06/30/1994

Effective Date

02/10/2016

Expiration Date

09/30/2018

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/14/2020