MICHAEL R WOLFGRAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000424

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

WOLFGRAM

Suffix

DDS

Business Name

MICHAEL R WOLFGRAM DDS

Original Issue Date

05/30/1990

Effective Date

05/30/1990

Expiration Date

06/30/1991

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005