ROBERT D FRICKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043822

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

FRICKE

Suffix

Business Name

ROBERT D FRICKE MD

Original Issue Date

10/02/1970

Effective Date

08/05/2008

Expiration Date

07/31/2011

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/12/2012

Case Number

2011003898

Action

Suspension

Discipline Start Date

07/22/2011

Discipline End Date

01/11/2012

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/12/2012.