BRENDAN P FRAWLEY JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

BRENDAN P

Last Name

FRAWLEY JR

Suffix

Business Name

BRENDAN P FRAWLEY JR MD

Original Issue Date

07/02/1996

Effective Date

07/02/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006