DANIEL FREDERICKSON DDS - Dentist License in Illinois | # 019014044

DANIEL FREDERICKSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014044

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Last Name

FREDERICKSON

Suffix

DDS

Business Name

DANIEL FREDERICKSON DDS

Original Issue Date

07/08/1971

Effective Date

07/08/1971

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005