ROBERT CHARLES WOLZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

ROBERT CHARLES

Last Name

WOLZ

Business Name

ROBERT CHARLES WOLZ

Original Issue Date

03/09/1993

Effective Date

03/09/1993

Expiration Date

09/30/1994

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005