FREDERICK DOUGLA PELTZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

FREDERICK DOUGLA

Last Name

PELTZ

Suffix

DDS

Business Name

FREDERICK DOUGLA PELTZ DDS

Original Issue Date

01/01/1998

Effective Date

08/14/2015

Expiration Date

09/30/2018

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018