FABIAN D LATOCHA DDS - Dentist License in Illinois | # 137000315

FABIAN D LATOCHA DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000315

License Status

ACTIVE

Business

N

First Name

FABIAN

Middle

D

Last Name

LATOCHA

Suffix

DDS

Business Name

FABIAN D LATOCHA DDS

Original Issue Date

06/15/1992

Effective Date

05/07/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

05/07/2024