SCOTT M WOLTER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

ACTIVE

Business

First Name

SCOTT M

Last Name

WOLTER

Suffix

DMD

Business Name

SCOTT M WOLTER DMD

Original Issue Date

03/30/1992

Effective Date

05/30/2024

Expiration Date

09/30/2027

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2024