LEANNE M FREDRICKSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

Title

DDS

First Name

LEANNE

Middle

Last Name

FREDRICKSON

Business Name

LEANNE M FREDRICKSON DDS

Original Issue Date

04/16/2025

Effective Date

04/16/2025

Expiration Date

09/30/2027

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/16/2025