HOWARD CLARK FEDERER III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

HOWARD CLARK

Last Name

FEDERER III

Suffix

Business Name

HOWARD CLARK FEDERER III MD

Original Issue Date

06/04/1986

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023