JAY ALAN FREDRICKSON DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****38

License Status

NOT RENEWED

Business

First Name

JAY

Middle

ALAN

Last Name

FREDRICKSON

Suffix

DVM

Business Name

JAY ALAN FREDRICKSON DVM

Original Issue Date

05/27/1999

Effective Date

01/18/2011

Expiration Date

01/31/2013

City

PLAINFIELD

State

Zip

60586

County

WILL

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/20/2013