DAVID A WURZBACH 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

WURZBACH

Business Name

DAVID A WURZBACH

Original Issue Date

12/05/1989

Effective Date

12/05/1989

Expiration Date

09/30/1992

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005