STEPHEN THOMAS BLUE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016892

License Status

INACTIVE

Business

First Name

STEPHEN THOMAS

Last Name

BLUE

Suffix

DDS

Business Name

STEPHEN THOMAS BLUE DDS

Original Issue Date

07/31/1979

Effective Date

07/21/2015

Expiration Date

09/30/2018

City

GRIDLEY

State

Zip

61744

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/07/2018