FREDERICK G TOBACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050175

License Status

NOT RENEWED

Business

First Name

FREDERICK G

Last Name

TOBACK

Suffix

Business Name

FREDERICK G TOBACK MD

Original Issue Date

10/10/1974

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017