STEVEN C BUTZEN 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

STEVEN C

Last Name

BUTZEN

Business Name

STEVEN C BUTZEN

Original Issue Date

10/23/1986

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009