BRENDA K STENFTENAGEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

BRENDA K

Last Name

STENFTENAGEL

Suffix

DDS

Business Name

BRENDA K STENFTENAGEL DDS

Original Issue Date

10/18/1995

Effective Date

10/18/1995

Expiration Date

09/30/1998

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005