JENNIFER S FREDERICKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106524

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

Last Name

FREDERICKS

Business Name

JENNIFER S FREDERICKS MD

Original Issue Date

03/15/2002

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

BARTLETT

State

Zip

60103

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/23/2023