ERIC W FOLTYS DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****76

NOT RENEWED

N

ERIC W

FOLTYS

DDS

ERIC W FOLTYS DDS

03/07/1997

03/07/1997

09/30/1998

ORLAND PARK

IL

60462

COOK

II III IV V

Y

10/13/2005

1996008502

Suspension

08/12/1998

04/24/2002