THOMAS B FRASER III Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

THOMAS B

Last Name

FRASER III

Business Name

THOMAS B FRASER III

Original Issue Date

08/13/1997

Effective Date

08/13/1997

Expiration Date

07/31/1999

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006