STEPHEN C DEGENHARDT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032431

License Status

NOT RENEWED

Business

Title

DDS

First Name

STEPHEN

Middle

Last Name

DEGENHARDT

Business Name

STEPHEN C DEGENHARDT DDS

Original Issue Date

10/30/2019

Effective Date

10/30/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022