DAVID GORDON FRYE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****94

NOT RENEWED

N

DAVID

GORDON

FRYE

DO

DAVID GORDON FRYE DO

08/13/2002

08/13/2002

07/31/2005

CHICAGO

IL

60610

COOK

II III IV V

N

10/09/2006