JEFFREY LYNN FREDERICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145490

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

LYNN

Last Name

FREDERICH

Business Name

JEFFREY LYNN FREDERICH MD

Original Issue Date

03/27/2018

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

PADUCAH

State

Zip

42001

Ever Disciplined

LastModifiedDate

04/14/2023