WALLACE O STEPHENSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008064

License Status

NOT RENEWED

Business

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

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/12/2005