FREDERICK M FITZPATRICK DDS - Dentist License in Illinois | # 021000791

FREDERICK M FITZPATRICK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000791

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018