STEPHEN C DEGENHARDT DDS - Dentist License in Illinois | # 018002082

STEPHEN C DEGENHARDT DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002082

License Status

EXPIRED

Business

N

Title

DDS

First Name

STEPHEN

Middle

C

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

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

11/28/2022