AIDAN PATRICK STEPHENS - Dentist License in Illinois | # 136000069

AIDAN PATRICK STEPHENS

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000069

License Status

EXPIRED

Business

N

First Name

AIDAN PATRICK

Last Name

STEPHENS

Business Name

AIDAN PATRICK STEPHENS

Original Issue Date

10/12/1999

Effective Date

10/12/1999

Expiration Date

08/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/13/2005