FREDRIC EDWARD WONDISFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

Title

First Name

FREDRIC

Middle

EDWARD

Last Name

WONDISFORD

Business Name

FREDRIC EDWARD WONDISFORD MD

Original Issue Date

07/18/2000

Effective Date

07/18/2000

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011