GARY MARTIN RASKA DMD - Dentist License in Illinois | # 137000707

GARY MARTIN RASKA DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000707

License Status

NOT RENEWED

Business

N

First Name

GARY

Middle

MARTIN

Last Name

RASKA

Suffix

DMD

Business Name

GARY MARTIN RASKA DMD

Original Issue Date

09/14/2007

Effective Date

09/29/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

N

LastModifiedDate

11/14/2012