DANIEL WOLTER DMD - Dentist License in Illinois | # 136000050

DANIEL WOLTER DMD

Business Entity

CANCELLED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000050

License Status

CANCELLED

Business

N

First Name

DANIEL

Last Name

WOLTER

Suffix

DMD

Business Name

DANIEL WOLTER DMD

Original Issue Date

07/09/1998

Effective Date

07/09/1998

Expiration Date

06/01/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/13/2005