FREDERICK DOUGLA PELTZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015289

License Status

NOT RENEWED

Business

First Name

FREDERICK DOUGLA

Last Name

PELTZ

Suffix

DDS

Business Name

FREDERICK DOUGLA PELTZ DDS

Original Issue Date

07/29/1975

Effective Date

08/14/2015

Expiration Date

09/30/2018

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/31/2018