BRIAN L HASTINGS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

BRIAN L

Last Name

HASTINGS

Suffix

DDS

Business Name

BRIAN L HASTINGS DDS

Original Issue Date

12/29/1992

Effective Date

09/22/2021

Expiration Date

09/30/2024

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025