MATTHEW ROBERT KASIAR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000838

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ROBERT

Last Name

KASIAR

Business Name

MATTHEW ROBERT KASIAR

Original Issue Date

03/29/2012

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

CHARLESTON

State

Zip

61920

County

COLES

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/09/2022