STACY ANN FRYE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126364

License Status

NOT RENEWED

Business

Title

First Name

STACY

Middle

ANN

Last Name

FRYE

Business Name

STACY ANN FRYE MD

Original Issue Date

07/30/2010

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014