MARJORIE HELEN WOLTER DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

CANCELLED

Business

Title

DDS

First Name

MARJORIE

Middle

HELEN

Last Name

WOLTER

Business Name

MARJORIE HELEN WOLTER DDS

Original Issue Date

11/16/2007

Effective Date

11/16/2007

Expiration Date

09/30/2009

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/16/2007