GORDON LOUIS STASTNY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000359

License Status

NOT RENEWED

Business

First Name

GORDON LOUIS

Last Name

STASTNY

Business Name

GORDON LOUIS STASTNY

Original Issue Date

11/21/1962

Effective Date

11/21/1962

Expiration Date

09/30/1984

City

COAL CITY

State

Zip

60416

County

GRUNDY

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/13/2005