ELAINE ALICE STUEBNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000412

License Status

NOT RENEWED

Business

First Name

ELAINE ALICE

Last Name

STUEBNER

Business Name

ELAINE ALICE STUEBNER

Original Issue Date

10/15/1996

Effective Date

10/15/1996

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005