AMANDA DIANE FRIEDRICHS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047502

License Status

EXPIRED

Business

First Name

AMANDA

Middle

DIANE

Last Name

FRIEDRICHS

Suffix

Business Name

AMANDA DIANE FRIEDRICHS MD

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2005

City

SYCAMORE

State

Zip

60178

Ever Disciplined

LastModifiedDate

09/22/2006