LEE W FRUSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077332

License Status

EXPIRED

Business

Title

First Name

LEE

Middle

Last Name

FRUSON

Business Name

LEE W FRUSON MD

Original Issue Date

07/22/2021

Effective Date

07/22/2021

Expiration Date

07/31/2022

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Adult Reconstructive Orthopedics

Ever Disciplined

LastModifiedDate

10/11/2022