FREDERICK LUNDRY LOCKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

LUNDRY

Last Name

LOCKE

Suffix

Business Name

FREDERICK LUNDRY LOCKE MD

Original Issue Date

06/02/2006

Effective Date

09/18/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011