TODD MICHAEL FATKIN - Dentist License in Illinois | # 020013678

TODD MICHAEL FATKIN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013678

License Status

NOT RENEWED

Business

N

First Name

TODD

Middle

MICHAEL

Last Name

FATKIN

Business Name

TODD MICHAEL FATKIN

Original Issue Date

07/13/2011

Effective Date

08/05/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018