LAURENCE D FREDERICK JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036027619

License Status

NOT RENEWED

Business

First Name

LAURENCE D

Last Name

FREDERICK JR

Suffix

Business Name

LAURENCE D FREDERICK JR MD

Original Issue Date

01/01/1997

City

ROCK HILL

State

Zip

29730

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006