HANS FREDERICKS OTTO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170041

License Status

ACTIVE

Business

Title

First Name

HANS

Middle

FREDERICKS

Last Name

OTTO

Business Name

HANS FREDERICKS OTTO MD

Original Issue Date

04/28/2024

Effective Date

04/28/2024

Expiration Date

07/31/2026

City

LAKESIDE PARK

State

Zip

41017

Ever Disciplined

LastModifiedDate

04/28/2024