FREDRICK HALL MARLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

FREDRICK HALL

Last Name

MARLER

Suffix

DDS

Business Name

FREDRICK HALL MARLER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006