JEFFREY L FRASER 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

JEFFREY L

Last Name

FRASER

Suffix

Business Name

JEFFREY L FRASER MD

Original Issue Date

04/15/1991

Effective Date

04/15/1991

Expiration Date

07/31/1996

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006