MICHAEL L HETSKO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

HETSKO

Suffix

DDS

Business Name

MICHAEL L HETSKO DDS

Original Issue Date

08/21/2003

Effective Date

08/21/2003

Expiration Date

09/30/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006