STEPHEN P OBROCHTA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

INACTIVE

Business

First Name

STEPHEN P

Last Name

OBROCHTA

Suffix

DDS

Business Name

STEPHEN P OBROCHTA DDS

Original Issue Date

08/10/1981

Effective Date

08/10/1981

Expiration Date

06/01/1982

City

NILES

State

Zip

60648

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005