WAYNE STANLEY FRIESTAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056375

License Status

NOT RENEWED

Business

First Name

WAYNE STANLEY

Last Name

FRIESTAD

Suffix

Business Name

WAYNE STANLEY FRIESTAD MD

Original Issue Date

02/09/1978

Effective Date

02/09/1978

Expiration Date

07/31/1984

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006