Waynerd B Frederickson Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019028665

Status

Inactive

First issued

June 15, 2011

Expired

December 31, 2021

License holder

Waynerd B Frederickson Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/07/2018

Other Illinois licenses under this name

• IL
  Waynerd B Frederickson Dds

  License 31*****05

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Geneva, IL

  Expired Sep 30, 2018

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