STEPHEN NICHOLAS WATKINS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

STEPHEN NICHOLAS

Last Name

WATKINS

Business Name

STEPHEN NICHOLAS WATKINS

Original Issue Date

10/10/1983

Effective Date

10/10/1983

Expiration Date

09/30/1986

City

MONMOUTH

State

Zip

61462

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005