PETER SCOTT STANEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

Title

DDS

First Name

PETER

Middle

SCOTT

Last Name

STANEK

Business Name

PETER SCOTT STANEK DDS

Original Issue Date

07/10/2012

Effective Date

07/10/2012

Expiration Date

09/30/2015

City

ELM GROVE

State

Zip

53122

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/08/2016