STEPHEN FROSSARD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074910

License Status

EXPIRED

Business

Title

First Name

STEPHEN

Last Name

FROSSARD

Business Name

STEPHEN FROSSARD DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Interventional Cardiology

Ever Disciplined

LastModifiedDate

11/19/2020