MICHAEL D FEDYNA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

FEDYNA

Business Name

MICHAEL D FEDYNA

Original Issue Date

09/04/1986

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018