MATTHEW ROBERT KASIAR - Dentist License in Illinois | # 137000838

MATTHEW ROBERT KASIAR

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000838

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

05/09/2022