STEPHANIE ERIN FRISCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

ERIN

Last Name

FRISCH

Business Name

STEPHANIE ERIN FRISCH MD

Original Issue Date

02/03/2014

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017