TYRUS R FRERKING DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065820

License Status

INACTIVE

Business

First Name

TYRUS R

Last Name

FRERKING

Suffix

Business Name

TYRUS R FRERKING DO

Original Issue Date

12/21/1982

Effective Date

12/21/1982

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006