SCOTT M WOLTER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

First Name

SCOTT M

Last Name

WOLTER

Suffix

DMD

Business Name

SCOTT M WOLTER DMD

Original Issue Date

10/16/1990

Effective Date

05/30/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2024