WALTER S FRIBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

WALTER

Middle

Last Name

FRIBERG

Suffix

Business Name

WALTER S FRIBERG MD

Original Issue Date

07/28/2004

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023