STANLEY DRAB 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

STANLEY

Last Name

DRAB

Business Name

STANLEY DRAB

Original Issue Date

01/01/1998

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

SAINT CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018