ELWOOD HENRY STADE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000930

License Status

NOT RENEWED

Business

First Name

ELWOOD HENRY

Last Name

STADE

Suffix

DDS

Business Name

ELWOOD HENRY STADE DDS

Original Issue Date

12/09/1976

Effective Date

12/09/1976

Expiration Date

09/30/1990

City

EAST ALTON

State

Zip

62024

County

MADISON

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/13/2005