ARLENE FUKAWA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

ARLENE

Last Name

FUKAWA

Business Name

ARLENE FUKAWA

Original Issue Date

04/07/1989

Effective Date

04/07/1989

Expiration Date

09/30/1992

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005