BRYAN D STAHL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

STAHL

Business Name

BRYAN D STAHL

Original Issue Date

03/29/1988

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

FOX RIVER GROVE

State

Zip

60021

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012