DEBORAH LYNN STEWART Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

DEBORAH LYNN

Last Name

STEWART

Business Name

DEBORAH LYNN STEWART

Original Issue Date

01/01/1998

Effective Date

09/03/2015

Expiration Date

09/30/2018

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018