FREDRICK W PURCELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

FREDRICK

Middle

Last Name

PURCELL

Suffix

DDS

Business Name

FREDRICK W PURCELL DDS

Original Issue Date

08/17/2004

Effective Date

09/07/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

02/08/2016