DANIEL LEE STEPHENS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

DANIEL LEE

Last Name

STEPHENS

Suffix

DDS

Business Name

DANIEL LEE STEPHENS DDS

Original Issue Date

01/01/1998

Effective Date

09/20/2018

Expiration Date

01/31/2022

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022