STEPHEN NEAL DORAN 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 NEAL

Last Name

DORAN

Business Name

STEPHEN NEAL DORAN

Original Issue Date

10/27/1983

Effective Date

08/10/2018

Expiration Date

01/31/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022