DAVID FERNANDO FRUGONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129998

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

FERNANDO

Last Name

FRUGONE

Business Name

DAVID FERNANDO FRUGONE MD

Original Issue Date

04/09/2012

Effective Date

04/09/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014