SUSANA F FRILLES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025317

License Status

EXPIRED

Business

First Name

SUSANA F

Last Name

FRILLES

Business Name

SUSANA F FRILLES

Original Issue Date

06/06/1990

Effective Date

06/06/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006