CHANIQUA ERIKA MCFADDEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHANIQUA

Middle

ERIKA

Last Name

MCFADDEN

Business Name

CHANIQUA ERIKA MCFADDEN DDS

Original Issue Date

08/25/2016

Effective Date

08/25/2016

Expiration Date

09/30/2018

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018