STACIE D ADONIS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

STACIE D

Last Name

ADONIS

Suffix

DDS

Business Name

STACIE D ADONIS DDS

Original Issue Date

11/30/1992

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024