STEPHEN MARTIN KLEIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

STEPHEN MARTIN

Last Name

KLEIN

Business Name

STEPHEN MARTIN KLEIN

Original Issue Date

12/17/1984

Effective Date

12/17/1984

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60644

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005