STEPHANIE HANNEMAN BOWERS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001696

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Last Name

HANNEMAN BOWERS

Business Name

STEPHANIE HANNEMAN BOWERS

Original Issue Date

09/08/1994

Effective Date

09/21/2015

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/31/2018