FRED W FRANKENBERG II Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036796

License Status

EXPIRED

Business

First Name

FRED

Middle

Last Name

FRANKENBERG II

Business Name

FRED W FRANKENBERG II

Original Issue Date

06/16/1997

Effective Date

06/16/1997

Expiration Date

06/30/2000

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006