JEFFREY LYNN FREDERICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

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

County

KENTUCKY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023