GORDON LOUIS STASTNY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010139

License Status

NOT RENEWED

Business

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

City

COAL CITY

State

Zip

60416

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/12/2005