DANIEL M FIDANZE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

DANIEL M

Last Name

FIDANZE

Business Name

DANIEL M FIDANZE

Original Issue Date

04/24/1987

Effective Date

12/02/2021

Expiration Date

09/30/2024

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025