MICHAEL J FADDIS - Dentist License in Illinois | # 136000276

MICHAEL J FADDIS

Business Entity

ACTIVE

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000276

License Status

ACTIVE

Business

N

First Name

MICHAEL

Middle

J

Last Name

FADDIS

Business Name

MICHAEL J FADDIS

Original Issue Date

02/06/2024

Effective Date

09/06/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

11/07/2024