SEAN F VOSTATEK DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

CANCELLED

Business

First Name

SEAN

Middle

Last Name

VOSTATEK

Suffix

DDS

Business Name

SEAN F VOSTATEK DDS

Original Issue Date

09/04/2003

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

OQUAWKA

State

Zip

61469

County

HENDERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009