ROMAN PATRICK FRIDLINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157869

License Status

ACTIVE

Business

Title

First Name

ROMAN

Middle

PATRICK

Last Name

FRIDLINE

Business Name

ROMAN PATRICK FRIDLINE MD

Original Issue Date

07/28/2021

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/15/2024