ANGEL FRAZIER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

Title

DMD

First Name

ANGEL

Last Name

FRAZIER

Business Name

ANGEL FRAZIER DMD

Original Issue Date

07/09/2020

Effective Date

07/09/2020

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60620

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022