RONALD JAMES FERNBACH DDS 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

RONALD JAMES

Last Name

FERNBACH

Suffix

DDS

Business Name

RONALD JAMES FERNBACH DDS

Original Issue Date

01/01/1998

Effective Date

03/13/2013

Expiration Date

09/30/2015

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016