MARK DARYL STUMPHY DDS - Dentist License in Illinois | # 019029306

MARK DARYL STUMPHY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029306

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

MARK

Middle

DARYL

Last Name

STUMPHY

Business Name

MARK DARYL STUMPHY DDS

Original Issue Date

01/31/2013

Effective Date

01/31/2013

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016