JEFFREY D FRERICHS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

First Name

JEFFREY D

Last Name

FRERICHS

Suffix

DDS

Business Name

JEFFREY D FRERICHS DDS

Original Issue Date

10/19/1990

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024