FREDERICK R NESTROCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

FREDERICK R

Last Name

NESTROCK

Business Name

FREDERICK R NESTROCK

Original Issue Date

09/30/1987

Effective Date

09/30/1987

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005