RENEE FREDERICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176734

License Status

ACTIVE

Business

Title

First Name

RENEE

Last Name

FREDERICK

Business Name

RENEE FREDERICK MD

Original Issue Date

08/21/2025

Effective Date

08/21/2025

Expiration Date

07/31/2026

City

COVINGTON

State

Zip

30014

Ever Disciplined

LastModifiedDate

08/21/2025