JOLENE ANN FREDRIKSZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047971

License Status

EXPIRED

Business

First Name

JOLENE

Middle

ANN

Last Name

FREDRIKSZ

Suffix

Business Name

JOLENE ANN FREDRIKSZ MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/03/2007