LEE WILLIAM FRUSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158462

License Status

NOT RENEWED

Business

Title

First Name

LEE

Middle

WILLIAM

Last Name

FRUSON

Business Name

LEE WILLIAM FRUSON MD

Original Issue Date

10/07/2021

Effective Date

10/07/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023