CASEY MAXCINE FARES - Dentist License in Illinois | # 020014148

CASEY MAXCINE FARES

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014148

License Status

NOT RENEWED

Business

N

First Name

CASEY

Middle

MAXCINE

Last Name

FARES

Business Name

CASEY MAXCINE FARES

Original Issue Date

08/13/2012

Effective Date

09/29/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018