STEPHANIE LEE WHITLEY DMD - Dentist License in Illinois | # 137000882

STEPHANIE LEE WHITLEY DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000882

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

LEE

Last Name

WHITLEY

Suffix

DMD

Business Name

STEPHANIE LEE WHITLEY DMD

Original Issue Date

11/25/2013

Effective Date

07/09/2015

Expiration Date

09/30/2018

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

10/31/2018