BRENT DOUGLAS WOHLFORD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015401

License Status

ACTIVE

Business

First Name

BRENT DOUGLAS

Last Name

WOHLFORD

Suffix

DMD

Business Name

BRENT DOUGLAS WOHLFORD DMD

Original Issue Date

02/13/1976

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

06/24/2024