FREDERICK GEORGE WALDSCHMIDT Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

CANCELLED

Business

First Name

FREDERICK GEORGE

Last Name

WALDSCHMIDT

Business Name

FREDERICK GEORGE WALDSCHMIDT

Original Issue Date

01/01/1998

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

06/04/2009