JAMES WALTER FREDERIKSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057651

License Status

ACTIVE

Business

First Name

JAMES WALTER

Last Name

FREDERIKSEN

Suffix

Business Name

JAMES WALTER FREDERIKSEN MD

Original Issue Date

09/25/1978

Effective Date

08/25/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

08/25/2023