ELAINE F FACHIN - Dentist License in Illinois | # 018000301

ELAINE F FACHIN

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000301

License Status

NOT RENEWED

Business

N

First Name

ELAINE

Middle

F

Last Name

FACHIN

Business Name

ELAINE F FACHIN

Original Issue Date

10/29/1988

Effective Date

10/29/1988

Expiration Date

10/26/1990

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005