STEPHANIE ERIN FRISCH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134536

License Status

INACTIVE

Business

Title

First Name

STEPHANIE

Middle

ERIN

Last Name

FRISCH

Business Name

STEPHANIE ERIN FRISCH MD

Original Issue Date

02/03/2014

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/12/2017