STUART DESSNER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

STUART

Last Name

DESSNER

Suffix

DMD

Business Name

STUART DESSNER DMD

Original Issue Date

11/06/2009

Effective Date

11/06/2009

Expiration Date

09/30/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012