MATTHEW ROBERT KASIAR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ROBERT

Last Name

KASIAR

Business Name

MATTHEW ROBERT KASIAR

Original Issue Date

08/21/2006

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

CHARLESTON

State

Zip

61920

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022