RICHARD CLAEYS FREDERICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

RICHARD CLAEYS

Last Name

FREDERICK

Suffix

Business Name

RICHARD CLAEYS FREDERICK MD

Original Issue Date

01/01/1997

Effective Date

07/15/2020

Expiration Date

07/31/2023

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023