FRED E FIZZY DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038004114

License Status

NOT RENEWED

Business

First Name

FRED E

Last Name

FIZZY

Suffix

Business Name

FRED E FIZZY DC

Original Issue Date

01/11/1980

Effective Date

08/01/2005

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61107

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/06/2008