MICHAEL LOUIS FUESTING Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

INACTIVE

Business

First Name

MICHAEL LOUIS

Last Name

FUESTING

Business Name

MICHAEL LOUIS FUESTING

Original Issue Date

09/03/1982

Effective Date

10/25/2021

Expiration Date

09/30/2024

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024