JOHN THOMAS FREDERICK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102087

License Status

INACTIVE

Business

First Name

JOHN

Middle

THOMAS

Last Name

FREDERICK

Suffix

Business Name

JOHN THOMAS FREDERICK MD

Original Issue Date

03/07/2000

Effective Date

03/07/2000

Expiration Date

07/31/2002

City

SEATTLE

State

Zip

98112

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/09/2006