JAY ALAN FREDRICKSON DVM - Veterinarian License in Illinois | # 090004199

JAY ALAN FREDRICKSON DVM

Business Entity

INACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090004199

License Status

INACTIVE

Business

N

First Name

JAY

Middle

ALAN

Last Name

FREDRICKSON

Suffix

DVM

Business Name

JAY ALAN FREDRICKSON DVM

Original Issue Date

06/15/1978

Effective Date

01/18/2011

Expiration Date

01/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2012