STEPHEN MARK ZECK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

MARK

Last Name

ZECK

Suffix

DDS

Business Name

STEPHEN MARK ZECK DDS

Original Issue Date

07/30/2003

Effective Date

09/18/2012

Expiration Date

09/30/2015

City

MUNSTER

State

Zip

46321

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016