STEPHEN NEAL DORAN - Dentist License in Illinois | # 137000262

STEPHEN NEAL DORAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000262

License Status

NOT RENEWED

Business

N

First Name

STEPHEN NEAL

Last Name

DORAN

Business Name

STEPHEN NEAL DORAN

Original Issue Date

07/24/1990

Effective Date

08/10/2018

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

05/09/2022