JOHN KENNETH FAVALE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018464

License Status

ACTIVE

Business

First Name

JOHN KENNETH

Last Name

FAVALE

Business Name

JOHN KENNETH FAVALE

Original Issue Date

02/09/1983

Effective Date

07/26/2024

Expiration Date

09/30/2027

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

07/26/2024