PAUL MATTHEW STAVRAKAS DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002008

License Status

EXPIRED

Business

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

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

09/19/2017