FREDERICK PAUL WALDSCHMIDT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

ACTIVE

Business

First Name

FREDERICK PAUL

Last Name

WALDSCHMIDT

Business Name

FREDERICK PAUL WALDSCHMIDT

Original Issue Date

11/01/1984

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/30/2024