SCOTT WAYNE STIFFLE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

ACTIVE

Business

First Name

SCOTT WAYNE

Last Name

STIFFLE

Suffix

DDS

Business Name

SCOTT WAYNE STIFFLE DDS

Original Issue Date

01/01/1998

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2024