MARINA MIKHALETS-FASBINDER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

MARINA

Last Name

MIKHALETS-FASBINDER

Suffix

DDS

Business Name

MARINA MIKHALETS-FASBINDER DDS

Original Issue Date

09/04/2003

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012