THEODORE JOHN WOLGEMUTH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008507

License Status

NOT RENEWED

Business

First Name

THEODORE JOHN

Last Name

WOLGEMUTH

Business Name

THEODORE JOHN WOLGEMUTH

Original Issue Date

08/05/1943

Effective Date

08/05/1943

City

LEESVILLE

State

Zip

71446

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/12/2005