AMY BRONWYN FREY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055555

License Status

EXPIRED

Business

Title

First Name

AMY

Middle

BRONWYN

Last Name

FREY

Business Name

AMY BRONWYN FREY DO

Original Issue Date

07/29/2008

Effective Date

07/29/2008

Expiration Date

07/28/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Selective Pathology

Ever Disciplined

LastModifiedDate

08/05/2009