FREDRIC WARREN FEIST JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

FREDRIC

Middle

WARREN

Last Name

FEIST

Suffix

JR MD

Business Name

FREDRIC WARREN FEIST JR MD

Original Issue Date

03/17/1998

Effective Date

03/17/1998

Expiration Date

07/31/2002

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006