ANDREA L FRALEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044879

License Status

EXPIRED

Business

First Name

ANDREA

Middle

Last Name

FRALEY

Business Name

ANDREA L FRALEY

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

06/17/2006

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006