FREDERIC K RENOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074021

License Status

NOT RENEWED

Business

Title

First Name

FREDERIC

Middle

Last Name

RENOLD

Business Name

FREDERIC K RENOLD MD

Original Issue Date

10/24/1986

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014