ELAINE F FACHIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000301

License Status

NOT RENEWED

Business

First Name

ELAINE

Middle

Last Name

FACHIN

Business Name

ELAINE F FACHIN

Original Issue Date

10/29/1988

Effective Date

10/29/1988

Expiration Date

10/26/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005