FABIAN D LATOCHA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

FABIAN

Middle

Last Name

LATOCHA

Suffix

DDS

Business Name

FABIAN D LATOCHA DDS

Original Issue Date

03/30/1992

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024