PATRICK MICHAEL STAMOS DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000216

License Status

EXPIRED

Business

Title

DDS

First Name

PATRICK

Middle

MICHAEL

Last Name

STAMOS

Business Name

PATRICK MICHAEL STAMOS DDS

Original Issue Date

06/06/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/02/2019