JOHN STEPHEN FRAZEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

STEPHEN

Last Name

FRAZEE

Suffix

DDS

Business Name

JOHN STEPHEN FRAZEE DDS

Original Issue Date

10/14/2004

Effective Date

10/14/2004

Expiration Date

09/30/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006