FREDERICK M FITZPATRICK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000791

License Status

NOT RENEWED

Business

First Name

FREDERICK M

Last Name

FITZPATRICK

Suffix

DDS

Business Name

FREDERICK M FITZPATRICK DDS

Original Issue Date

12/17/1973

Effective Date

06/18/2012

Expiration Date

09/30/2015

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018