GARRISON FREDERICK PEASE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063336

License Status

EXPIRED

Business

Title

First Name

GARRISON

Middle

FREDERICK

Last Name

PEASE

Business Name

GARRISON FREDERICK PEASE MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/19/2017