AIDAN PATRICK STEPHENS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000069

License Status

EXPIRED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2005