RICHARD A STEPHEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

STEPHEY

Suffix

DDS

Business Name

RICHARD A STEPHEY DDS

Original Issue Date

01/01/1998

Effective Date

08/01/2012

Expiration Date

09/30/2015

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/08/2016