WAYNERD B FREDERICKSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028665

License Status

INACTIVE

Business

First Name

WAYNERD

Middle

Last Name

FREDERICKSON

Suffix

DDS

Business Name

WAYNERD B FREDERICKSON DDS

Original Issue Date

06/15/2011

Effective Date

08/07/2018

Expiration Date

12/31/2021

City

DELRAY BEACH

State

Zip

33446

Ever Disciplined

LastModifiedDate

08/18/2025