STEPHEN L RIDER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

Last Name

RIDER

Suffix

DDS

Business Name

STEPHEN L RIDER DDS

Original Issue Date

01/01/1998

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

KEWANEE

State

Zip

61443

County

HENRY

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

05/02/2024