DAN WILBERT KASPAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000198

License Status

NOT RENEWED

Business

First Name

DAN

Middle

WILBERT

Last Name

KASPAR

Suffix

DDS

Business Name

DAN WILBERT KASPAR DDS

Original Issue Date

01/17/1990

Effective Date

06/15/2015

Expiration Date

09/30/2018

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/31/2018