DONALD L RASTEDE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

DONALD L

Last Name

RASTEDE

Business Name

DONALD L RASTEDE

Original Issue Date

10/22/1986

Effective Date

12/02/2021

Expiration Date

09/30/2024

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025