SARAH E FRY 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

SARAH

Middle

Last Name

FRY

Business Name

SARAH E FRY

Original Issue Date

06/08/2004

Effective Date

06/08/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008