STEPHEN MATHEW CONWAY DMD 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 MATHEW

Last Name

CONWAY

Suffix

DMD

Business Name

STEPHEN MATHEW CONWAY DMD

Original Issue Date

11/30/1992

Effective Date

11/30/1992

Expiration Date

09/30/2000

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005