AELRED CHARLES FONDER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

AELRED CHARLES

Last Name

FONDER

Business Name

AELRED CHARLES FONDER

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005