JOHN CHARLES FREDERICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098033

License Status

ACTIVE

Business

First Name

JOHN

Middle

CHARLES

Last Name

FREDERICK

Suffix

Business Name

JOHN CHARLES FREDERICK MD

Original Issue Date

06/15/1998

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/22/2023