STEPHEN MATHEW CONWAY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

STEPHEN MATHEW

Last Name

CONWAY

Suffix

DMD

Business Name

STEPHEN MATHEW CONWAY DMD

Original Issue Date

01/01/1998

Effective Date

12/18/2021

Expiration Date

09/30/2024

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025