STEPHANIE HAEYOUNG OH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030405

License Status

NOT RENEWED

Business

Title

DMD

First Name

STEPHANIE

Middle

HAEYOUNG

Last Name

Business Name

STEPHANIE HAEYOUNG OH DMD

Original Issue Date

08/04/2015

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/09/2022