FRED MARTIN OVSIEW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058090

License Status

ACTIVE

Business

First Name

FRED MARTIN

Last Name

OVSIEW

Suffix

Business Name

FRED MARTIN OVSIEW MD

Original Issue Date

11/20/1978

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/05/2023