THEODORE FISHMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019007974

License Status

NOT RENEWED

Business

First Name

THEODORE

Last Name

FISHMAN

Suffix

DDS

Business Name

THEODORE FISHMAN DDS

Original Issue Date

07/30/1940

Effective Date

07/30/1940

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005