GERALD W STONECIPHER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012805

License Status

INACTIVE

Business

First Name

GERALD W

Last Name

STONECIPHER

Suffix

DDS

Business Name

GERALD W STONECIPHER DDS

Original Issue Date

07/15/1965

Effective Date

07/27/2012

Expiration Date

09/30/2015

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/08/2015