HOWARD CLARK FEDERER III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072388

License Status

ACTIVE

Business

First Name

HOWARD CLARK

Last Name

FEDERER III

Suffix

Business Name

HOWARD CLARK FEDERER III MD

Original Issue Date

03/13/1986

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2023