STEVEN MAURICE VANSPEYBROECK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

STEVEN MAURICE

Last Name

VANSPEYBROECK

Business Name

STEVEN MAURICE VANSPEYBROECK

Original Issue Date

05/16/1988

Effective Date

05/16/1988

Expiration Date

09/30/1990

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005