STUART LEE FRAZIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

STUART

Middle

LEE

Last Name

FRAZIER

Business Name

STUART LEE FRAZIER MD

Original Issue Date

09/04/2015

Effective Date

09/04/2015

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017