JOHN W FRASER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

JOHN W

Last Name

FRASER

Suffix

Business Name

JOHN W FRASER MD

Original Issue Date

10/05/1992

Effective Date

10/05/1992

Expiration Date

07/31/1999

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006