FREDRICK W PURCELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

FREDRICK

Middle

Last Name

PURCELL

Suffix

DDS

Business Name

FREDRICK W PURCELL DDS

Original Issue Date

08/28/1986

Effective Date

08/28/1986

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005