NICK FREDERICKA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017029

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005