SCOTT RICHARD STANKE - Dentist License in Illinois | # 137000361

SCOTT RICHARD STANKE

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000361

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

05/09/2022