MICHAEL BARRY WOLF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

MICHAEL BARRY

Last Name

WOLF

Suffix

DDS

Business Name

MICHAEL BARRY WOLF DDS

Original Issue Date

01/01/1998

Effective Date

05/02/2011

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012