FREDERICK TODD WARNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141638

License Status

ACTIVE

Business

Title

First Name

FREDERICK

Middle

TODD

Last Name

WARNER

Business Name

FREDERICK TODD WARNER MD

Original Issue Date

09/01/2016

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PARK CITY

State

Zip

84098

Ever Disciplined

LastModifiedDate

04/06/2023