STEPHEN JOSEPH CONRAD 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

STEPHEN

Middle

JOSEPH

Last Name

CONRAD

Suffix

DDS

Business Name

STEPHEN JOSEPH CONRAD DDS

Original Issue Date

03/12/1982

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009