WALLACE O STEPHENSON DDS - Dentist License in Illinois | # 019008064

WALLACE O STEPHENSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008064

License Status

NOT RENEWED

Business

N

First Name

WALLACE O

Last Name

STEPHENSON

Suffix

DDS

Business Name

WALLACE O STEPHENSON DDS

Original Issue Date

08/07/1940

Effective Date

08/07/1940

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005