ALAN RICHARD WIELGOS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016686

License Status

ACTIVE

Business

First Name

ALAN RICHARD

Last Name

WIELGOS

Suffix

DDS

Business Name

ALAN RICHARD WIELGOS DDS

Original Issue Date

06/29/1979

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

PLEASANT PRAIRIE

State

Zip

53158

Ever Disciplined

LastModifiedDate

07/11/2024