JASON CLARK FRIEDRICHS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047999

License Status

EXPIRED

Business

Title

First Name

JASON

Middle

CLARK

Last Name

FRIEDRICHS

Business Name

JASON CLARK FRIEDRICHS MD

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2005

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006