JOHN F FREDRICKSEN JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

JOHN F

Last Name

FREDRICKSEN JR

Business Name

JOHN F FREDRICKSEN JR

Original Issue Date

08/16/1982

Effective Date

09/02/2015

Expiration Date

09/30/2018

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018