FAYE E LICATA DR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

FAYE E

Last Name

LICATA DR

Business Name

FAYE E LICATA DR

Original Issue Date

08/24/1988

Effective Date

08/24/1988

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005