JOHN H B FREDERICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

H B

Last Name

FREDERICK

Business Name

JOHN H B FREDERICK MD

Original Issue Date

07/29/2015

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023