EDWARD K FRYE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

EDWARD K

Last Name

FRYE

Business Name

EDWARD K FRYE MD

Original Issue Date

03/07/2007

Effective Date

07/09/2008

Expiration Date

07/31/2011

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020