SARAH B STOVALL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

STOVALL

Suffix

DDS

Business Name

SARAH B STOVALL DDS

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

09/30/2006

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006