RONALD WALTER FABRICK DDS - Dentist License in Illinois | # 019010446

RONALD WALTER FABRICK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010446

License Status

NOT RENEWED

Business

N

First Name

RONALD WALTER

Last Name

FABRICK

Suffix

DDS

Business Name

RONALD WALTER FABRICK DDS

Original Issue Date

01/04/1954

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010