DANIEL FREDERICKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014044

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

FREDERICKSON

Suffix

DDS

Business Name

DANIEL FREDERICKSON DDS

Original Issue Date

07/08/1971

Effective Date

07/08/1971

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005