CHARLES WALLACE FRYE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035672

License Status

NOT RENEWED

Business

First Name

CHARLES WALLACE

Last Name

FRYE

Suffix

Business Name

CHARLES WALLACE FRYE MD

Original Issue Date

03/04/1959

Effective Date

03/04/1959

Expiration Date

07/31/1984

City

ST. PAUL

State

Zip

55110

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006