JEREMY FRAGD LEE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055035

License Status

CANCELLED

Business

Title

First Name

JEREMY

Middle

FRAGD

Last Name

LEE

Business Name

JEREMY FRAGD LEE DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/13/2011