STEPHEN NEAL DORAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

STEPHEN NEAL

Last Name

DORAN

Business Name

STEPHEN NEAL DORAN

Original Issue Date

10/24/1990

Effective Date

10/24/1990

Expiration Date

09/30/1996

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005