BETH P FRAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

BETH

Middle

Last Name

FRAUM

Suffix

Business Name

BETH P FRAUM MD

Original Issue Date

07/18/2000

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

MARINA DEL REY

State

Zip

90292

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023