JASON CLARK FRIEDRICHS 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

Title

First Name

JASON

Middle

CLARK

Last Name

FRIEDRICHS

Business Name

JASON CLARK FRIEDRICHS MD

Original Issue Date

04/08/2008

Effective Date

09/23/2020

Expiration Date

07/31/2023

City

SYCAMORE

State

Zip

60178

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023