MARK LOWRY FRIEDELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

MARK LOWRY

Last Name

FRIEDELL

Suffix

Business Name

MARK LOWRY FRIEDELL MD

Original Issue Date

12/24/1986

Effective Date

12/24/1986

Expiration Date

07/31/1990

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006