VALCOURT FRAGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055392

License Status

NOT RENEWED

Business

First Name

VALCOURT

Last Name

FRAGE

Suffix

Business Name

VALCOURT FRAGE MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/01/1982

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006