STEVEN B RAPHAEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002414

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

RAPHAEL

Suffix

DDS

Business Name

STEVEN B RAPHAEL DDS

Original Issue Date

08/08/2011

Effective Date

08/08/2011

Expiration Date

09/30/2012

City

SPRINGFIELD

State

Zip

65804

County

MISSOURI

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

LastModifiedDate

11/14/2012