FRED MARTIN OVSIEW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

FRED MARTIN

Last Name

OVSIEW

Suffix

Business Name

FRED MARTIN OVSIEW MD

Original Issue Date

01/01/1997

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023