MARY RASTY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

ACTIVE

Business

First Name

MARY

Last Name

RASTY

Suffix

DDS

Business Name

MARY RASTY DDS

Original Issue Date

09/19/2001

Effective Date

08/18/2024

Expiration Date

09/30/2027

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/18/2024