NEIL R FRIED DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000149

License Status

EXPIRED

Business

First Name

NEIL

Middle

Last Name

FRIED

Suffix

DPM

Business Name

NEIL R FRIED DPM

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/28/2010