STEPHANIE L SUE DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002109

License Status

EXPIRED

Business

Title

DMD

First Name

STEPHANIE

Middle

Last Name

SUE

Business Name

STEPHANIE L SUE DMD

Original Issue Date

06/28/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

11/28/2022