JOHN STEPHEN SHEPARD DDS - Dentist License in Illinois | # 019012640

JOHN STEPHEN SHEPARD DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012640

License Status

NOT RENEWED

Business

N

First Name

JOHN STEPHEN

Last Name

SHEPARD

Suffix

DDS

Business Name

JOHN STEPHEN SHEPARD DDS

Original Issue Date

11/25/1964

Effective Date

11/25/1964

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005