JOHN JOSEPH FONDER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

JOHN JOSEPH

Last Name

FONDER

Business Name

JOHN JOSEPH FONDER

Original Issue Date

11/09/1983

Effective Date

11/09/1983

Expiration Date

09/30/1986

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005