FREDERICK LUNDRY LOCKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116059

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

LUNDRY

Last Name

LOCKE

Suffix

Business Name

FREDERICK LUNDRY LOCKE MD

Original Issue Date

06/01/2006

Effective Date

09/18/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011