MARY S FAZIO - Dentist License in Illinois | # 020004492

MARY S FAZIO

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004492

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

S

Last Name

FAZIO

Business Name

MARY S FAZIO

Original Issue Date

06/25/1981

Effective Date

06/25/1981

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005