Kenneth Michael Fasig

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019017518

Status

Inactive

First issued

January 20, 1981

Expired

September 30, 2018

License holder

Kenneth Michael Fasig

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/03/2015

Other Illinois licenses under this name

• IL
  Kenneth Michael Fasig

  License 31*****59

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Pekin, IL

  Expired Sep 30, 1992

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