JOHN CHARLES FREDERICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

JOHN

Middle

CHARLES

Last Name

FREDERICK

Suffix

Business Name

JOHN CHARLES FREDERICK MD

Original Issue Date

07/14/1998

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023