BARRY W FRIEDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

BARRY W

Last Name

FRIEDER

Suffix

Business Name

BARRY W FRIEDER MD

Original Issue Date

04/17/1985

Effective Date

04/17/1985

Expiration Date

07/31/1987

City

QUINCY

State

Zip

62306

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006