RICHARD JOSEPH STEPHEN DDS - Dentist License in Illinois | # 019013684

RICHARD JOSEPH STEPHEN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013684

License Status

INACTIVE

Business

N

First Name

RICHARD JOSEPH

Last Name

STEPHEN

Suffix

DDS

Business Name

RICHARD JOSEPH STEPHEN DDS

Original Issue Date

07/14/1969

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/24/2006