FREDERICK THANE DEWEESE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105182

License Status

ACTIVE

Business

First Name

FREDERICK

Middle

THANE

Last Name

DEWEESE

Suffix

Business Name

FREDERICK THANE DEWEESE MD

Original Issue Date

07/11/2001

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

METROPOLIS

State

Zip

62960

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/07/2023