STEPHEN C DEGENHARDT DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002082

License Status

EXPIRED

Business

Title

DDS

First Name

STEPHEN

Middle

Last Name

DEGENHARDT

Business Name

STEPHEN C DEGENHARDT DDS

Original Issue Date

07/03/2018

Effective Date

08/13/2018

Expiration Date

08/12/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/28/2022