DAVID MARTIN FRIM MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001960

License Status

NOT RENEWED

Business

First Name

DAVID MARTIN

Last Name

FRIM

Suffix

Business Name

DAVID MARTIN FRIM MD

Original Issue Date

09/04/2014

Effective Date

12/07/2020

Expiration Date

12/31/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

NOT REPORTED

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023