FREDERICK CLARENCE PLACE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097598

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

CLARENCE

Last Name

PLACE

Suffix

Business Name

FREDERICK CLARENCE PLACE MD

Original Issue Date

04/03/1998

Effective Date

04/03/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006