JEREMY FRAGD LEE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

JEREMY

Middle

FRAGD

Last Name

LEE

Business Name

JEREMY FRAGD LEE DO

Original Issue Date

11/22/2011

Effective Date

11/22/2011

Expiration Date

07/31/2014

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014