VINCENT N FORNANGO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

VINCENT N

Last Name

FORNANGO

Business Name

VINCENT N FORNANGO

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005