DANIEL WOLTER DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000050

License Status

CANCELLED

Business

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

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2005