STEPHANIE ZOTOS HOUSEMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

STEPHANIE ZOTOS

Last Name

HOUSEMAN

Business Name

STEPHANIE ZOTOS HOUSEMAN

Original Issue Date

02/18/2005

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016