KEVIN B FRICKA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113130

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

FRICKA

Business Name

KEVIN B FRICKA

Original Issue Date

02/22/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008