STEPHANIE ELAINE GRAHAM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

STEPHANIE ELAINE

Last Name

GRAHAM

Suffix

DMD

Business Name

STEPHANIE ELAINE GRAHAM DMD

Original Issue Date

03/05/1999

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024