ALAN JOSEPH WICKENHAUSER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

ALAN

Middle

JOSEPH

Last Name

WICKENHAUSER

Suffix

DMD

Business Name

ALAN JOSEPH WICKENHAUSER DMD

Original Issue Date

08/21/1998

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024