ALEXANDER J FETNER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Middle

Last Name

FETNER

Suffix

DMD

Business Name

ALEXANDER J FETNER DMD

Original Issue Date

07/26/2011

Effective Date

08/08/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016