STEFANIE J FRY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000202

License Status

EXPIRED

Business

First Name

STEFANIE

Middle

Last Name

FRY

Business Name

STEFANIE J FRY

Original Issue Date

03/05/1993

Effective Date

03/05/1993

Expiration Date

05/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Hematology

Ever Disciplined

LastModifiedDate

09/25/2006