STEPHANIE MICHELLE WARD 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

STEPHANIE

Middle

MICHELLE

Last Name

WARD

Business Name

STEPHANIE MICHELLE WARD

Original Issue Date

05/07/2002

Effective Date

12/22/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025