STEVEN B RAPHAEL DDS - Dentist License in Illinois | # 018001721

STEVEN B RAPHAEL DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001721

License Status

EXPIRED

Business

N

First Name

STEVEN

Middle

B

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

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

07/19/2011