JASON MICHAEL FRAZIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

MICHAEL

Last Name

FRAZIER

Business Name

JASON MICHAEL FRAZIER MD

Original Issue Date

09/18/2012

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023