JAY ALAN FREDRICKSON DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****00

License Status

NOT RENEWED

Business

First Name

JAY

Middle

ALAN

Last Name

FREDRICKSON

Suffix

DVM

Business Name

JAY ALAN FREDRICKSON DVM

Original Issue Date

01/01/1998

Effective Date

01/18/2011

Expiration Date

01/31/2013

City

JOLIET

State

Zip

60403

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013