DAVID A WURZBACH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

DAVID A

Last Name

WURZBACH

Business Name

DAVID A WURZBACH

Original Issue Date

12/28/1989

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024