LADEANE K FATTORE-BRUNO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

LADEANE

Middle

Last Name

FATTORE-BRUNO

Suffix

DDS

Business Name

LADEANE K FATTORE-BRUNO DDS

Original Issue Date

06/15/2004

Effective Date

06/15/2004

Expiration Date

09/30/2006

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006