STEVEN MAURICE VANSPEYBROECK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

STEVEN MAURICE

Last Name

VANSPEYBROECK

Business Name

STEVEN MAURICE VANSPEYBROECK

Original Issue Date

08/11/1982

Effective Date

09/13/2018

Expiration Date

01/31/2022

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022