STEPHEN L WILSON DDS - Dentist License in Illinois | # 021000704

STEPHEN L WILSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000704

License Status

NOT RENEWED

Business

N

First Name

STEPHEN L

Last Name

WILSON

Suffix

DDS

Business Name

STEPHEN L WILSON DDS

Original Issue Date

12/06/1971

Effective Date

12/06/1971

Expiration Date

09/30/2006

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

11/08/2006