MYRANDA NYCOLE WOLFF Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031777

License Status

ACTIVE

Business

First Name

MYRANDA

Middle

NYCOLE

Last Name

WOLFF

Business Name

MYRANDA NYCOLE WOLFF

Original Issue Date

07/05/2018

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/25/2024