SUSAN M FORNATTO-CARNEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

FORNATTO-CARNEY

Business Name

SUSAN M FORNATTO-CARNEY

Original Issue Date

09/15/1987

Effective Date

09/15/1987

Expiration Date

09/30/2000

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005