RICHARD JOSEPH STEPHEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013684

License Status

INACTIVE

Business

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

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/24/2006