STEPHEN CLAYTON ROEHM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

STEPHEN CLAYTON

Last Name

ROEHM

Suffix

DDS

Business Name

STEPHEN CLAYTON ROEHM DDS

Original Issue Date

12/04/1996

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025