MILAN NICHOLAS PASTUOVIC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

MILAN NICHOLAS

Last Name

PASTUOVIC

Business Name

MILAN NICHOLAS PASTUOVIC

Original Issue Date

08/22/2000

Effective Date

08/22/2000

Expiration Date

09/30/2002

City

PLAINFIELD

State

Zip

60544

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005