CORBAN RICHARD STETTLER DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001761

License Status

EXPIRED

Business

First Name

CORBAN

Middle

RICHARD

Last Name

STETTLER

Suffix

DDS

Business Name

CORBAN RICHARD STETTLER DDS

Original Issue Date

06/08/2010

Effective Date

06/24/2010

Expiration Date

08/01/2011

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

09/30/2011