GREGORY ALFRED WISGOSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

GREGORY ALFRED

Last Name

WISGOSKI

Suffix

DDS

Business Name

GREGORY ALFRED WISGOSKI DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

LASALLE

State

Zip

61301

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005