MARK RICHARD WOLF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000128

License Status

NOT RENEWED

Business

First Name

MARK RICHARD

Last Name

WOLF

Business Name

MARK RICHARD WOLF

Original Issue Date

01/01/1998

Effective Date

06/20/2018

Expiration Date

01/31/2022

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

05/09/2022