STEPHEN EDWARD JARVIE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

STEPHEN EDWARD

Last Name

JARVIE

Suffix

DDS

Business Name

STEPHEN EDWARD JARVIE DDS

Original Issue Date

01/01/1998

Effective Date

09/11/2018

Expiration Date

01/31/2022

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022