PATRICE R FREDERICK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117915

License Status

ACTIVE

Business

First Name

PATRICE

Middle

Last Name

FREDERICK

Business Name

PATRICE R FREDERICK

Original Issue Date

03/26/2007

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2023