GARY RAY STAMM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

GARY RAY

Last Name

STAMM

Suffix

DDS

Business Name

GARY RAY STAMM DDS

Original Issue Date

01/01/1998

Effective Date

10/22/2015

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018