SEBASTIAN JOHN PAGANO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

SEBASTIAN

Middle

JOHN

Last Name

PAGANO

Suffix

DMD

Business Name

SEBASTIAN JOHN PAGANO DMD

Original Issue Date

01/01/1998

Effective Date

12/02/2015

Expiration Date

09/30/2018

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018