FREDERIC JOSHUA AUERBACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

FREDERIC

Middle

JOSHUA

Last Name

AUERBACH

Business Name

FREDERIC JOSHUA AUERBACH MD

Original Issue Date

11/08/2011

Effective Date

11/08/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014