STEVEN B RAPHAEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028222

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

RAPHAEL

Suffix

DDS

Business Name

STEVEN B RAPHAEL DDS

Original Issue Date

03/23/2010

Effective Date

03/23/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012