TRISTAN BLASE FRIED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168181

License Status

ACTIVE

Business

Title

First Name

TRISTAN

Middle

BLASE

Last Name

FRIED

Business Name

TRISTAN BLASE FRIED MD

Original Issue Date

01/07/2024

Effective Date

01/07/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/27/2025