RICHARD N FACKO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002462

License Status

ACTIVE

Business

First Name

RICHARD

Middle

Last Name

FACKO

Business Name

RICHARD N FACKO

Original Issue Date

08/10/2012

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

05/01/2024