GORDON LOUIS STASTNY - Dentist License in Illinois | # 019010139

GORDON LOUIS STASTNY

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010139

License Status

NOT RENEWED

Business

N

First Name

GORDON LOUIS

Last Name

STASTNY

Business Name

GORDON LOUIS STASTNY

Original Issue Date

08/19/1952

Effective Date

08/19/1952

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005