LORI STEPHENS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004209

License Status

NOT RENEWED

Business

First Name

LORI

Last Name

STEPHENS

Business Name

LORI STEPHENS

Original Issue Date

07/15/1980

Effective Date

09/21/2015

Expiration Date

09/30/2018

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

10/31/2018