LAURENCE D FREDERICK JR MD - Medical Doctor License in South Carolina | # 036027619

LAURENCE D FREDERICK JR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036027619

License Status

NOT RENEWED

Business

N

First Name

LAURENCE D

Last Name

FREDERICK JR

Suffix

MD

Business Name

LAURENCE D FREDERICK JR MD

Original Issue Date

01/01/1997

State

SC

Ever Disciplined

N

LastModifiedDate

09/20/2006