STEPHANIE ELAINE GRAHAM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024501

License Status

ACTIVE

Business

First Name

STEPHANIE ELAINE

Last Name

GRAHAM

Suffix

DMD

Business Name

STEPHANIE ELAINE GRAHAM DMD

Original Issue Date

07/25/1997

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/03/2024