JASON W FREDRICK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023937

License Status

INACTIVE

Business

First Name

JASON W

Last Name

FREDRICK

Suffix

DDS

Business Name

JASON W FREDRICK DDS

Original Issue Date

08/31/1995

Effective Date

08/31/1995

Expiration Date

09/30/1996

City

BOCA RATON

State

Zip

33486

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005