JEREMY FRAGD LEE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129263

License Status

NOT RENEWED

Business

Title

First Name

JEREMY

Middle

FRAGD

Last Name

LEE

Business Name

JEREMY FRAGD LEE DO

Original Issue Date

11/22/2011

Effective Date

11/22/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014