WAYNE JAMES FITZPATRICK DDS - Dentist License in Illinois | # 019012435

WAYNE JAMES FITZPATRICK DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012435

License Status

INACTIVE

Business

N

First Name

WAYNE

Middle

JAMES

Last Name

FITZPATRICK

Suffix

DDS

Business Name

WAYNE JAMES FITZPATRICK DDS

Original Issue Date

05/28/1964

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/24/2006