SCOTT RICHARD STANKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000361

License Status

NOT RENEWED

Business

First Name

SCOTT RICHARD

Last Name

STANKE

Business Name

SCOTT RICHARD STANKE

Original Issue Date

09/21/1994

Effective Date

07/09/2018

Expiration Date

01/31/2022

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

05/09/2022