JOSEPH J FORNAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

JOSEPH J

Last Name

FORNAL

Suffix

DDS

Business Name

JOSEPH J FORNAL DDS

Original Issue Date

03/06/1990

Effective Date

03/06/1990

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005