STEPHEN L FENCHEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

STEPHEN L

Last Name

FENCHEL

Suffix

DDS

Business Name

STEPHEN L FENCHEL DDS

Original Issue Date

11/18/1981

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022