FRATMISHIN JOHN ALEXANDER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

FRATMISHIN JOHN

Last Name

ALEXANDER

Business Name

FRATMISHIN JOHN ALEXANDER

Original Issue Date

06/10/1987

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2024