BRUCE WALTER WISNER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

WALTER

Last Name

WISNER

Suffix

DDS

Business Name

BRUCE WALTER WISNER DDS

Original Issue Date

01/01/1998

Effective Date

07/24/2015

Expiration Date

09/30/2018

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018