DAVID FREDERIC FRETZIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

DAVID FREDERIC

Last Name

FRETZIN

Suffix

Business Name

DAVID FREDERIC FRETZIN MD

Original Issue Date

01/01/1997

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

01/14/2021