ROTEM FRIEDE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

CANCELLED

Business

First Name

ROTEM

Last Name

FRIEDE

Business Name

ROTEM FRIEDE

Original Issue Date

08/30/1999

Effective Date

08/30/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006