NICHOLAS SCOTT STEBBINS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

Title

DMD

First Name

NICHOLAS

Middle

SCOTT

Last Name

STEBBINS

Business Name

NICHOLAS SCOTT STEBBINS DMD

Original Issue Date

10/02/2017

Effective Date

10/02/2017

Expiration Date

09/30/2018

City

PORTLAND

State

Zip

97225

County

OREGON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018