GARY MARTIN RASKA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000707

License Status

NOT RENEWED

Business

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

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

11/14/2012