TIMOTHY C FRODERMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046888

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

Last Name

FRODERMAN

Suffix

Business Name

TIMOTHY C FRODERMAN MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006