HAZEL E STEVENS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

HAZEL E

Last Name

STEVENS

Suffix

DDS

Business Name

HAZEL E STEVENS DDS

Original Issue Date

01/13/1986

Effective Date

01/13/1986

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005