FREDERICK BARRY AXELROD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

BARRY

Last Name

AXELROD

Suffix

Business Name

FREDERICK BARRY AXELROD MD

Original Issue Date

07/15/1998

Effective Date

07/15/1998

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011