HARVEY A WIGDOR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

HARVEY

Middle

Last Name

WIGDOR

Suffix

DDS

Business Name

HARVEY A WIGDOR DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006