FREDERICK TYE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

FREDERICK

Last Name

TYE

Suffix

DDS

Business Name

FREDERICK TYE DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005