TERRENCE J FRICK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021686

License Status

EXPIRED

Business

First Name

TERRENCE

Middle

Last Name

FRICK

Business Name

TERRENCE J FRICK

Original Issue Date

08/19/1987

Effective Date

08/19/1987

Expiration Date

08/11/1990

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006