DENNIS J FAHEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

DENNIS J

Last Name

FAHEY

Suffix

DDS

Business Name

DENNIS J FAHEY DDS

Original Issue Date

02/15/2006

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/04/2009