MARK W WILHELM 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

MARK W

Last Name

WILHELM

Business Name

MARK W WILHELM

Original Issue Date

10/21/1985

Effective Date

10/21/1985

Expiration Date

09/30/1986

City

BUFFALO GROVE

State

Zip

60089

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005