ROBERT DANIEL FRUIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086180

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

DANIEL

Last Name

FRUIN

Business Name

ROBERT DANIEL FRUIN MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/02/2025