R JEFFREY WILKIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

R JEFFREY

Last Name

WILKIN

Business Name

R JEFFREY WILKIN

Original Issue Date

08/12/1985

Effective Date

08/12/1985

Expiration Date

09/30/2004

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005