KEVIN THOMAS WOLF Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031678

License Status

ACTIVE

Business

First Name

KEVIN

Middle

THOMAS

Last Name

WOLF

Business Name

KEVIN THOMAS WOLF

Original Issue Date

06/05/2018

Effective Date

05/04/2024

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/04/2024