DANIEL SAM STEIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

Title

DDS

First Name

DANIEL

Middle

SAM

Last Name

STEIN

Business Name

DANIEL SAM STEIN DDS

Original Issue Date

12/29/2023

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2024