BRENT DOUGLAS WOHLFORD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

First Name

BRENT DOUGLAS

Last Name

WOHLFORD

Suffix

DMD

Business Name

BRENT DOUGLAS WOHLFORD DMD

Original Issue Date

01/01/1998

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2024