STEPHEN T LIESEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021224

License Status

ACTIVE

Business

First Name

STEPHEN T

Last Name

LIESEN

Business Name

STEPHEN T LIESEN

Original Issue Date

08/06/1988

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

BARRY

State

Zip

62312

County

PIKE

Ever Disciplined

LastModifiedDate

05/08/2024

Case Number

2019001494

Action

Probation

Discipline Start Date

03/16/2020

Discipline End Date

06/13/2022

Discipline Reason

dental license placed on indefinite probation for a minimum of two years due to unprofessional conduct and willful making or filing false records.