JOHN FREDRIC SHOWALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

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

07/28/2000

Expiration Date

07/31/2002

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020