TIMOTHY W FROST 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

TIMOTHY W

Last Name

FROST

Suffix

Business Name

TIMOTHY W FROST MD

Original Issue Date

07/07/1989

Effective Date

07/07/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006