MARK STEPHEN FRIEDERICH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015357

License Status

NOT RENEWED

Business

First Name

MARK STEPHEN

Last Name

FRIEDERICH

Suffix

DMD

Business Name

MARK STEPHEN FRIEDERICH DMD

Original Issue Date

10/07/1975

Effective Date

08/28/2015

Expiration Date

09/30/2018

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

10/31/2018