ANNE MARIE FABRICIUS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

Title

DMD

First Name

ANNE

Middle

MARIE

Last Name

FABRICIUS

Business Name

ANNE MARIE FABRICIUS DMD

Original Issue Date

07/06/2010

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2024