FREDERICK DEAN POAGE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172980

License Status

ACTIVE

Business

Title

First Name

FREDERICK

Middle

DEAN

Last Name

POAGE

Business Name

FREDERICK DEAN POAGE DO

Original Issue Date

12/06/2024

Effective Date

12/06/2024

Expiration Date

07/31/2026

City

AMARILLO

State

Zip

79119

Ever Disciplined

LastModifiedDate

03/26/2025