STEPHEN PAUL MORIMOTO DDS - Dentist License in Illinois | # 137000157

STEPHEN PAUL MORIMOTO DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000157

License Status

ACTIVE

Business

N

First Name

STEPHEN

Middle

PAUL

Last Name

MORIMOTO

Suffix

DDS

Business Name

STEPHEN PAUL MORIMOTO DDS

Original Issue Date

01/01/1998

Effective Date

05/02/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

05/02/2024