DANIEL WOLTER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

WOLTER

Suffix

DMD

Business Name

DANIEL WOLTER DMD

Original Issue Date

01/28/1999

Effective Date

01/28/1999

Expiration Date

09/30/2006

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006