FREDDY S AW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066015

License Status

NOT RENEWED

Business

First Name

FREDDY S

Last Name

Suffix

Business Name

FREDDY S AW MD

Original Issue Date

01/28/1983

Effective Date

01/28/1983

Expiration Date

07/31/1987

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006