DAVID STOKELY MADDOX II Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

STOKELY

Last Name

MADDOX

Suffix

Business Name

DAVID STOKELY MADDOX II

Original Issue Date

04/07/1987

Effective Date

11/27/2021

Expiration Date

09/30/2024

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025