RUTH A FRAZIER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017290

License Status

EXPIRED

Business

First Name

RUTH A

Last Name

FRAZIER

Suffix

Business Name

RUTH A FRAZIER MD

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

07/01/1986

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006