KALEI WILSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

Title

DDS

First Name

KALEI

Last Name

WILSON

Business Name

KALEI WILSON DDS

Original Issue Date

06/24/2022

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63119

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024