JAMES T FETSCH DMD - Dentist License in Illinois | # 137000814

JAMES T FETSCH DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000814

License Status

NOT RENEWED

Business

N

First Name

JAMES

Middle

T

Last Name

FETSCH

Suffix

DMD

Business Name

JAMES T FETSCH DMD

Original Issue Date

06/22/2011

Effective Date

07/07/2016

Expiration Date

09/30/2018

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

10/31/2018