WILBUR FRANCIS DOLEZAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

WILBUR FRANCIS

Last Name

DOLEZAL

Suffix

DDS

Business Name

WILBUR FRANCIS DOLEZAL DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005