EARL E FREDRICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

EARL E

Last Name

FREDRICK

Suffix

Business Name

EARL E FREDRICK MD

Original Issue Date

10/09/1990

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023