MELISSA KATHRYN ROEHM STIGALL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

First Name

MELISSA KATHRYN

Middle

ROEHM

Last Name

STIGALL

Suffix

DDS

Business Name

MELISSA KATHRYN ROEHM STIGALL DDS

Original Issue Date

04/19/2010

Effective Date

07/09/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2024