PATRICIA STIFTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

PATRICIA

Last Name

STIFTER

Business Name

PATRICIA STIFTER

Original Issue Date

09/25/1984

Effective Date

11/09/2021

Expiration Date

09/30/2024

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025