EARL E FREDRICK JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

EARL E

Last Name

FREDRICK JR

Suffix

Business Name

EARL E FREDRICK JR MD

Original Issue Date

01/01/1997

Effective Date

07/17/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020