JAMES T STORK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027608

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

STORK

Suffix

DDS

Business Name

JAMES T STORK DDS

Original Issue Date

05/19/2008

Effective Date

09/01/2009

Expiration Date

09/30/2012

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

11/14/2012