LESA D FRAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

LESA D

Last Name

FRAKER

Suffix

Business Name

LESA D FRAKER MD

Original Issue Date

02/06/1989

Effective Date

02/06/1989

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006