STEPHEN W SUM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

ACTIVE

Business

First Name

STEPHEN W

Last Name

SUM

Business Name

STEPHEN W SUM

Original Issue Date

08/24/1982

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2024