ESTELA VIVIANA DECASTECKER DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

INOPERATIVE

Business

First Name

ESTELA VIVIANA

Last Name

DECASTECKER

Suffix

DDS

Business Name

ESTELA VIVIANA DECASTECKER DDS

Original Issue Date

11/21/1997

Effective Date

11/21/1997

Expiration Date

09/30/1998

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005