AMY M VANFOSSEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026405

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

VANFOSSEN

Suffix

DDS

Business Name

AMY M VANFOSSEN DDS

Original Issue Date

06/04/2004

Effective Date

05/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

05/23/2024