C LEONARD FATH

Licensed Dentist Controlled Substance

Illinois  319008934   Not Renewed

This Illinois license was held by C LEONARD FATH. The license is no longer active. It was granted on 07/30/1990 and expired on 09/30/1992

LICENSE DETAILS

  • License Number: 319008934
  • Category: LICENSED DENTIST CONTROLLED SUBSTANCE
  • Status: Not Renewed
  • Date Granted: 07/30/1990 (almost 35 years ago)
  • Expiry Date: 09/30/1992 (over 32 years ago)

LOCATIONS

A Address

Venice, CA 90291-5870