MARILYNN C FREDERIKSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058725

License Status

ACTIVE

Business

First Name

MARILYNN

Middle

Last Name

FREDERIKSEN

Suffix

Business Name

MARILYNN C FREDERIKSEN MD

Original Issue Date

06/18/1979

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

06/18/2023