ELWOOD HENRY STADE DDS - Dentist License in Illinois | # 021000930

ELWOOD HENRY STADE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000930

License Status

NOT RENEWED

Business

N

First Name

ELWOOD HENRY

Last Name

STADE

Suffix

DDS

Business Name

ELWOOD HENRY STADE DDS

Original Issue Date

12/09/1976

Effective Date

12/09/1976

Expiration Date

09/30/1990

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005