FREDDY S AW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

FREDDY S

Last Name

Suffix

Business Name

FREDDY S AW MD

Original Issue Date

04/11/1983

Effective Date

04/11/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006