THEODORE WILLIAM FRANK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052067

License Status

NOT RENEWED

Business

First Name

THEODORE WILLIAM

Last Name

FRANK

Suffix

Business Name

THEODORE WILLIAM FRANK MD

Original Issue Date

11/14/1975

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/06/2008