EDWARD K FRYE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

EDWARD K

Last Name

FRYE

Business Name

EDWARD K FRYE MD

Original Issue Date

02/05/1991

Effective Date

07/09/2008

Expiration Date

07/31/2011

City

STREATOR

State

Zip

61364

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020