SCOTT RICHARD STANKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

SCOTT RICHARD

Last Name

STANKE

Business Name

SCOTT RICHARD STANKE

Original Issue Date

08/16/1983

Effective Date

09/29/2021

Expiration Date

09/30/2024

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025