CAMILLA JUNE FREDERICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084484

License Status

ACTIVE

Business

First Name

CAMILLA JUNE

Last Name

FREDERICK

Suffix

Business Name

CAMILLA JUNE FREDERICK MD

Original Issue Date

07/01/1992

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/07/2023