STEPHEN KENT SHUMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

STEPHEN KENT

Last Name

SHUMAN

Business Name

STEPHEN KENT SHUMAN

Original Issue Date

01/28/1985

Effective Date

01/28/1985

Expiration Date

09/30/1988

City

AVON

State

Zip

61415

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005