IRA W FREILICH 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

IRA

Middle

Last Name

FREILICH

Suffix

Business Name

IRA W FREILICH MD

Original Issue Date

11/19/2008

Effective Date

04/03/2013

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014