KEVIN THOMAS WOLF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

THOMAS

Last Name

WOLF

Business Name

KEVIN THOMAS WOLF

Original Issue Date

08/21/2018

Effective Date

08/21/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60707

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022