STEVEN B RAPHAEL DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001721

License Status

EXPIRED

Business

First Name

STEVEN

Middle

Last Name

RAPHAEL

Suffix

DDS

Business Name

STEVEN B RAPHAEL DDS

Original Issue Date

05/05/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

07/19/2011