VANESSA A PASTROVICH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

ACTIVE

Business

Title

DMD

First Name

VANESSA

Middle

Last Name

PASTROVICH

Business Name

VANESSA A PASTROVICH DMD

Original Issue Date

08/07/2012

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2024