STEPHEN GARY MARSHALL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000077

License Status

ACTIVE

Business

First Name

STEPHEN GARY

Last Name

MARSHALL

Suffix

DDS

Business Name

STEPHEN GARY MARSHALL DDS

Original Issue Date

01/01/1998

Effective Date

08/24/2024

Expiration Date

09/30/2027

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

08/24/2024