MICHAEL P FRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

MICHAEL P

Last Name

FRY

Suffix

Business Name

MICHAEL P FRY MD

Original Issue Date

02/01/1983

Effective Date

02/01/1983

Expiration Date

07/31/1984

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006