RICHARD N FACKO - Dentist License in Illinois | # 021002462

RICHARD N FACKO

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002462

License Status

ACTIVE

Business

N

First Name

RICHARD

Middle

N

Last Name

FACKO

Business Name

RICHARD N FACKO

Original Issue Date

08/10/2012

Effective Date

05/01/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

N

LastModifiedDate

05/01/2024