JENNIFER S FREDERICKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039854

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

Last Name

FREDERICKS

Business Name

JENNIFER S FREDERICKS MD

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/20/2002

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006