WALTER FABISIEWICZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015050

License Status

NOT RENEWED

Business

First Name

WALTER

Last Name

FABISIEWICZ

Suffix

DDS

Business Name

WALTER FABISIEWICZ DDS

Original Issue Date

01/14/1975

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2007