STEPHEN OWEN RAIBLEY DDS 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

STEPHEN OWEN

Last Name

RAIBLEY

Suffix

DDS

Business Name

STEPHEN OWEN RAIBLEY DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005