PAUL MATTHEW STAVRAKAS DDS - Dentist License in Illinois | # 018002008

PAUL MATTHEW STAVRAKAS DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002008

License Status

EXPIRED

Business

N

Title

DDS

First Name

PAUL

Middle

MATTHEW

Last Name

STAVRAKAS

Business Name

PAUL MATTHEW STAVRAKAS DDS

Original Issue Date

06/29/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

09/19/2017