THEODOR FRIDRIKSSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000365

License Status

EXPIRED

Business

First Name

THEODOR

Last Name

FRIDRIKSSON

Business Name

THEODOR FRIDRIKSSON

Original Issue Date

05/07/1997

Effective Date

05/07/1997

Expiration Date

01/31/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/25/2006