JOHN KARL FREDERIKSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158028

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

KARL

Last Name

FREDERIKSEN

Business Name

JOHN KARL FREDERIKSEN MD

Original Issue Date

08/13/2021

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

Ever Disciplined

LastModifiedDate

04/15/2023