JOHN LOUIS WIETHOLDER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028637

License Status

NOT RENEWED

Business

Title

DMD

First Name

JOHN

Middle

LOUIS

Last Name

WIETHOLDER

Business Name

JOHN LOUIS WIETHOLDER DMD

Original Issue Date

06/07/2011

Effective Date

06/15/2015

Expiration Date

09/30/2018

City

CLARKSVILLE

State

Zip

37042

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/31/2018