CARLA C FRITZ Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

CANCELLED

Business

First Name

CARLA

Middle

Last Name

FRITZ

Business Name

CARLA C FRITZ

Original Issue Date

02/06/2003

Effective Date

02/06/2003

Expiration Date

07/31/2005

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006