RICHARD ALAN FAIERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

RICHARD ALAN

Last Name

FAIERSON

Suffix

DDS

Business Name

RICHARD ALAN FAIERSON DDS

Original Issue Date

01/01/1998

Effective Date

08/27/2012

Expiration Date

09/30/2015

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016