RYAN ANTHONY FREDERIKSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138441

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

ANTHONY

Last Name

FREDERIKSEN

Business Name

RYAN ANTHONY FREDERIKSEN MD

Original Issue Date

06/24/2015

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

KAILUA

State

Zip

96734

Ever Disciplined

LastModifiedDate

05/26/2023