RONALD WALTER FABRICK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000527

License Status

NOT RENEWED

Business

First Name

RONALD WALTER

Last Name

FABRICK

Suffix

DDS

Business Name

RONALD WALTER FABRICK DDS

Original Issue Date

11/18/1966

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

11/04/2009