LUCAS J STEPHENS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

Title

DMD

First Name

LUCAS

Middle

Last Name

STEPHENS

Business Name

LUCAS J STEPHENS DMD

Original Issue Date

07/12/2016

Effective Date

02/11/2019

Expiration Date

01/31/2022

City

EVANSTON

State

Zip

60201

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022