HARRY MICHAEL STOUP DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

HARRY MICHAEL

Last Name

STOUP

Suffix

DDS

Business Name

HARRY MICHAEL STOUP DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005