JEREMIAH FREDRICK SAMPLE DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038012958

License Status

NOT RENEWED

Business

Title

First Name

JEREMIAH

Middle

FREDRICK

Last Name

SAMPLE

Business Name

JEREMIAH FREDRICK SAMPLE DC

Original Issue Date

03/30/2016

Effective Date

03/30/2016

Expiration Date

07/31/2017

City

WICHITA

State

Zip

67210

County

KANSAS

Ever Disciplined

LastModifiedDate

11/01/2017