RICHARD JOSEPH STEPHEN DDS - Dentist License in Illinois | # 137000045

RICHARD JOSEPH STEPHEN DDS

Business Entity

CANCELLED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000045

License Status

CANCELLED

Business

N

First Name

RICHARD JOSEPH

Last Name

STEPHEN

Suffix

DDS

Business Name

RICHARD JOSEPH STEPHEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

07/24/2006