RICHARD JOSEPH STEPHEN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

CANCELLED

Business

First Name

RICHARD JOSEPH

Last Name

STEPHEN

Suffix

DDS

Business Name

RICHARD JOSEPH STEPHEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006