STEPHEN W HOLM DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001458

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

Last Name

HOLM

Suffix

DMD

Business Name

STEPHEN W HOLM DMD

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

06/30/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/31/2008