MARTIN JOSEPH WIELAND DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

CANCELLED

Business

First Name

MARTIN JOSEPH

Last Name

WIELAND

Suffix

DDS

Business Name

MARTIN JOSEPH WIELAND DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006