FABIAN D LATOCHA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000315

License Status

ACTIVE

Business

First Name

FABIAN

Middle

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

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

05/07/2024