MELVIN RONALD FREMIT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

NOT RENEWED

Business

First Name

MELVIN RONALD

Last Name

FREMIT

Business Name

MELVIN RONALD FREMIT

Original Issue Date

03/13/2001

Effective Date

03/13/2001

Expiration Date

03/01/2004

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2007