MARK DARYL STUMPHY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029306

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016