ROBERT V STAIB Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

ROBERT V

Last Name

STAIB

Business Name

ROBERT V STAIB

Original Issue Date

08/30/1982

Effective Date

07/06/2009

Expiration Date

09/30/2012

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012