FREDERICK M FITZPATRICK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

FREDERICK M

Last Name

FITZPATRICK

Suffix

DDS

Business Name

FREDERICK M FITZPATRICK DDS

Original Issue Date

01/01/1998

Effective Date

06/18/2012

Expiration Date

09/30/2015

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016