STEPHEN NEAL DORAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001483

License Status

NOT RENEWED

Business

First Name

STEPHEN NEAL

Last Name

DORAN

Business Name

STEPHEN NEAL DORAN

Original Issue Date

05/30/1990

Effective Date

08/10/2018

Expiration Date

01/31/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

05/09/2022