STEPHEN LIBBING DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

Title

DMD

First Name

STEPHEN

Last Name

LIBBING

Business Name

STEPHEN LIBBING DMD

Original Issue Date

07/14/2021

Effective Date

05/05/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2024