WAYNE JAMES FITZPATRICK DDS - Dentist License in Illinois | # 137000181

WAYNE JAMES FITZPATRICK DDS

Business Entity

CANCELLED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000181

License Status

CANCELLED

Business

N

First Name

WAYNE

Middle

JAMES

Last Name

FITZPATRICK

Suffix

DDS

Business Name

WAYNE JAMES FITZPATRICK DDS

Original Issue Date

01/03/1990

Effective Date

01/03/1990

Expiration Date

09/30/2006

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

07/24/2006