FREDERICK W HARTKER III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

Last Name

HARTKER

Suffix

III MD

Business Name

FREDERICK W HARTKER III MD

Original Issue Date

05/11/2001

Effective Date

05/11/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011