SARA J FREDRICKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076758

License Status

ACTIVE

Business

First Name

SARA J

Last Name

FREDRICKSON

Suffix

Business Name

SARA J FREDRICKSON MD

Original Issue Date

03/05/1988

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

SOUTH HAVEN

State

Zip

49090

Ever Disciplined

LastModifiedDate

04/25/2023