ROBERT T FABI DMD Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

INOPERATIVE

Business

First Name

ROBERT T

Last Name

FABI

Suffix

DMD

Business Name

ROBERT T FABI DMD

Original Issue Date

06/13/1996

Effective Date

06/13/1996

Expiration Date

09/30/1998

City

ASSUMPTION

State

Zip

62510

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005