CHAD J VERSLUIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

ACTIVE

Business

First Name

CHAD

Middle

Last Name

VERSLUIS

Business Name

CHAD J VERSLUIS

Original Issue Date

07/14/2008

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/06/2024