ZACHARY THOMAS FRAZIER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

Title

DDS

First Name

ZACHARY

Middle

THOMAS

Last Name

FRAZIER

Business Name

ZACHARY THOMAS FRAZIER DDS

Original Issue Date

06/15/2011

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022