LUKE RICHARD FREDERICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140866

License Status

ACTIVE

Business

Title

First Name

LUKE

Middle

RICHARD

Last Name

FREDERICK

Business Name

LUKE RICHARD FREDERICK MD

Original Issue Date

06/09/2016

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2023