J FRED E SHICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

J FRED E

Last Name

SHICK

Suffix

Business Name

J FRED E SHICK MD

Original Issue Date

01/01/1997

Effective Date

09/19/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024