ALEKSANDRA P FRYE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

ALEKSANDRA

Middle

Last Name

FRYE

Suffix

Business Name

ALEKSANDRA P FRYE MD

Original Issue Date

06/13/2008

Effective Date

06/13/2008

Expiration Date

07/31/2011

City

RED BUD

State

Zip

62278

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011