SCOTT A DRANCIK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

SCOTT A

Last Name

DRANCIK

Suffix

DMD

Business Name

SCOTT A DRANCIK DMD

Original Issue Date

08/23/1995

Effective Date

08/23/1995

Expiration Date

09/30/1998

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/13/2005