STEPHEN EUGENE CHRISTY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

EUGENE

Last Name

CHRISTY

Suffix

DMD

Business Name

STEPHEN EUGENE CHRISTY DMD

Original Issue Date

07/15/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009