BARBARA ANNE BUR FREDRICKSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003820

License Status

NOT RENEWED

Business

First Name

BARBARA ANNE BUR

Last Name

FREDRICKSON

Business Name

BARBARA ANNE BUR FREDRICKSON

Original Issue Date

06/29/1979

Effective Date

09/18/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/25/2016