RICHARD JOSEPH STEPHEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000731

License Status

INACTIVE

Business

First Name

RICHARD JOSEPH

Last Name

STEPHEN

Suffix

DDS

Business Name

RICHARD JOSEPH STEPHEN DDS

Original Issue Date

12/13/1972

Effective Date

12/13/1972

Expiration Date

09/30/2006

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/24/2006