PETER D FRIES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

PETER D

Last Name

FRIES

Suffix

Business Name

PETER D FRIES MD

Original Issue Date

07/03/1991

Effective Date

09/19/2024

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024