JOHN FREDRIC SHOWALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056564

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

FREDRIC

Last Name

SHOWALTER

Suffix

Business Name

JOHN FREDRIC SHOWALTER MD

Original Issue Date

03/14/1978

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

WAYNE

State

Zip

60184

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021