SANDRA LYNN FRELLSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

LYNN

Last Name

FRELLSEN

Suffix

Business Name

SANDRA LYNN FRELLSEN MD

Original Issue Date

08/01/2001

Effective Date

05/04/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014