DAVID GORDON FRYE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107515

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

GORDON

Last Name

FRYE

Suffix

Business Name

DAVID GORDON FRYE DO

Original Issue Date

07/24/2002

Effective Date

07/24/2002

Expiration Date

07/31/2005

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006