COLIN MICHAEL EUGENE FRY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078839

License Status

CANCELLED

Business

Title

First Name

COLIN

Middle

MICHAEL EUGENE

Last Name

FRY

Business Name

COLIN MICHAEL EUGENE FRY MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/24/2021