DYLAN J FREDERICKSON DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****94

License Status

NOT RENEWED

Business

First Name

DYLAN

Middle

Last Name

FREDERICKSON

Suffix

DVM

Business Name

DYLAN J FREDERICKSON DVM

Original Issue Date

09/14/2017

Effective Date

01/08/2021

Expiration Date

01/31/2023

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023