JEFFREY B STOLLER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

JEFFREY B

Last Name

STOLLER

Suffix

DDS

Business Name

JEFFREY B STOLLER DDS

Original Issue Date

10/26/1994

Effective Date

07/24/2024

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2024