DAN WILBERT KASPAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

DAN

Middle

WILBERT

Last Name

KASPAR

Suffix

DDS

Business Name

DAN WILBERT KASPAR DDS

Original Issue Date

10/28/1992

Effective Date

06/28/2012

Expiration Date

09/30/2015

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016