JOHN H B FREDERICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000450

License Status

EXPIRED

Business

Title

First Name

JOHN

Middle

H B

Last Name

FREDERICK

Business Name

JOHN H B FREDERICK MD

Original Issue Date

01/07/2012

Effective Date

01/07/2012

Expiration Date

07/06/2012

City

SANFORD

State

Zip

32771

Ever Disciplined

LastModifiedDate

08/29/2012