RACHEL LEE FREDERICKSON - Physician Assistant License in Colorado | # 085001833

RACHEL LEE FREDERICKSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001833

License Status

NOT RENEWED

Business

N

First Name

RACHEL

Middle

LEE

Last Name

FREDERICKSON

Business Name

RACHEL LEE FREDERICKSON

Original Issue Date

08/05/2002

Effective Date

02/08/2016

Expiration Date

03/01/2018

State

CO

Ever Disciplined

N

LastModifiedDate

05/10/2018