DONALD L RASTEDE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

DONALD L

Last Name

RASTEDE

Business Name

DONALD L RASTEDE

Original Issue Date

05/20/1987

Effective Date

05/20/1987

Expiration Date

09/30/1988

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005