ROBERT A STANFORD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

STANFORD

Suffix

DDS

Business Name

ROBERT A STANFORD DDS

Original Issue Date

01/01/1998

Effective Date

09/29/2021

Expiration Date

09/30/2024

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025