ROBERT OWEN WOLF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

Title

DDS

First Name

ROBERT

Middle

OWEN

Last Name

WOLF

Business Name

ROBERT OWEN WOLF DDS

Original Issue Date

07/17/2012

Effective Date

11/12/2015

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018