BRENDAN T VASTLIK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

ACTIVE

Business

Title

DDS

First Name

BRENDAN

Middle

Last Name

VASTLIK

Business Name

BRENDAN T VASTLIK DDS

Original Issue Date

06/11/2020

Effective Date

07/31/2024

Expiration Date

09/30/2027

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2024