DENA J FISCHER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

DENA

Middle

Last Name

FISCHER

Business Name

DENA J FISCHER

Original Issue Date

10/25/2006

Effective Date

08/31/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012