RONALD JAMES FERNBACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013118

License Status

NOT RENEWED

Business

First Name

RONALD JAMES

Last Name

FERNBACH

Suffix

DDS

Business Name

RONALD JAMES FERNBACH DDS

Original Issue Date

07/20/1967

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/28/2016

Case Number

2016002230

Action

Suspension

Discipline Start Date

05/27/2016

Discipline End Date

11/06/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/07/2019.