GREG W WILSON 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

GREG W

Last Name

WILSON

Business Name

GREG W WILSON

Original Issue Date

07/30/1982

Effective Date

07/30/1982

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005