FREDERMAN CONCEPCION MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

FREDERMAN

Last Name

CONCEPCION

Suffix

Business Name

FREDERMAN CONCEPCION MD

Original Issue Date

03/29/2006

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023