ELAINE ALICE STUEBNER - Dentist License in Illinois | # 137000412

ELAINE ALICE STUEBNER

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000412

License Status

NOT RENEWED

Business

N

First Name

ELAINE ALICE

Last Name

STUEBNER

Business Name

ELAINE ALICE STUEBNER

Original Issue Date

10/15/1996

Effective Date

10/15/1996

Expiration Date

09/30/2004

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/17/2005