HARVEY A WIGDOR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

HARVEY

Middle

Last Name

WIGDOR

Suffix

DDS

Business Name

HARVEY A WIGDOR DDS

Original Issue Date

09/02/2005

Effective Date

07/17/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022