CHARMAINE LAURA FROST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

CHARMAINE

Middle

LAURA

Last Name

FROST

Suffix

Business Name

CHARMAINE LAURA FROST MD

Original Issue Date

11/23/1998

Effective Date

11/23/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006