JOHN FREDRIC SHOWALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

FREDRIC

Last Name

SHOWALTER

Suffix

Business Name

JOHN FREDRIC SHOWALTER MD

Original Issue Date

07/28/2000

Effective Date

01/18/2018

Expiration Date

09/30/2020

City

WAYNE

State

Zip

60184

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021