FREDRIC ROSS FIERSTEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013816

License Status

NOT RENEWED

Business

Title

DDS

First Name

FREDRIC

Middle

ROSS

Last Name

FIERSTEN

Business Name

FREDRIC ROSS FIERSTEN DDS

Original Issue Date

07/07/1970

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/08/2016