PHILLIP EDWARD FRY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069273

License Status

EXPIRED

Business

Title

First Name

PHILLIP

Middle

EDWARD

Last Name

FRY

Business Name

PHILLIP EDWARD FRY DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

09/19/2017