LEWIS JACOB FRAZEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057104

License Status

NOT RENEWED

Business

First Name

LEWIS JACOB

Last Name

FRAZEE

Suffix

Business Name

LEWIS JACOB FRAZEE MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006