TERRY A WOLF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001594

License Status

NOT RENEWED

Business

First Name

TERRY A

Last Name

WOLF

Business Name

TERRY A WOLF

Original Issue Date

07/08/1971

Effective Date

07/08/1971

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005