STEVEN ROSS KOUTNIK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

Title

DDS

First Name

STEVEN

Middle

ROSS

Last Name

KOUTNIK

Business Name

STEVEN ROSS KOUTNIK DDS

Original Issue Date

08/06/2012

Effective Date

08/06/2012

Expiration Date

09/30/2015

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016