STEPHEN NEAL DORAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000262

License Status

NOT RENEWED

Business

First Name

STEPHEN NEAL

Last Name

DORAN

Business Name

STEPHEN NEAL DORAN

Original Issue Date

07/24/1990

Effective Date

08/10/2018

Expiration Date

01/31/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

05/09/2022