STEPHEN E DICKEY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000615

License Status

ACTIVE

Business

First Name

STEPHEN E

Last Name

DICKEY

Suffix

DDS

Business Name

STEPHEN E DICKEY DDS

Original Issue Date

06/15/2004

Effective Date

07/02/2024

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

07/02/2024