DANIEL WOLTER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001001

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

WOLTER

Suffix

DMD

Business Name

DANIEL WOLTER DMD

Original Issue Date

12/03/1996

Effective Date

12/03/1996

Expiration Date

09/30/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005