FREDERICK G FREITAG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066039

License Status

NOT RENEWED

Business

First Name

FREDERICK G

Last Name

FREITAG

Suffix

Business Name

FREDERICK G FREITAG DO

Original Issue Date

02/04/1983

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

PLEASANT PRAIRIE

State

Zip

53158

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021