KEVIN BLAKE FREEDMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104778

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

BLAKE

Last Name

FREEDMAN

Suffix

Business Name

KEVIN BLAKE FREEDMAN MD

Original Issue Date

05/18/2001

Effective Date

05/18/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006