FREDERICK A SLEZAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

FREDERICK A

Last Name

SLEZAK

Suffix

Business Name

FREDERICK A SLEZAK MD

Original Issue Date

08/16/1983

Effective Date

08/16/1983

Expiration Date

07/31/1984

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006