DAVID FERNANDO FRUGONE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056815

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

FERNANDO

Last Name

FRUGONE

Business Name

DAVID FERNANDO FRUGONE MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/06/2009