NICK FREDERICKA - Dentist License in Illinois | # 019017029

NICK FREDERICKA

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017029

License Status

NOT RENEWED

Business

N

First Name

NICK

Last Name

FREDERICKA

Business Name

NICK FREDERICKA

Original Issue Date

12/07/1979

Effective Date

12/07/1979

Expiration Date

04/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005