DAVID A WENZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

WENZ

Suffix

DDS

Business Name

DAVID A WENZ DDS

Original Issue Date

08/05/1982

Effective Date

08/05/1982

Expiration Date

09/30/2000

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005