JENNIFER S FREDERICKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

Last Name

FREDERICKS

Business Name

JENNIFER S FREDERICKS MD

Original Issue Date

06/05/2002

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

BARTLETT

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023