MARK RICHARD WOLF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

MARK RICHARD

Last Name

WOLF

Business Name

MARK RICHARD WOLF

Original Issue Date

01/01/1998

Effective Date

06/20/2018

Expiration Date

01/31/2022

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022