Kenneth Michael Fasig
ExpiredIllinois license 31*****59
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****59
- Status
- Expired (Not Renewed)
- First issued
- February 20, 1986
- Expired
- September 30, 1992
- License holder
- Kenneth Michael Fasig
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Controlled substance schedules
- II III IV V
- Current term began
- 02/20/1986
Other Illinois licenses under this name
-
IL
InactiveKalaheo, HIExpired Sep 30, 2018
Contact
Pekin, IL 61554
Tazewell County