DOLORES DIANE FREIGANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

DOLORES DIANE

Last Name

FREIGANG

Suffix

Business Name

DOLORES DIANE FREIGANG MD

Original Issue Date

07/29/1996

Effective Date

07/29/1996

Expiration Date

07/31/1999

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006