PAUL G FREDRICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036030809

License Status

NOT RENEWED

Business

First Name

PAUL G

Last Name

FREDRICKSON

Suffix

Business Name

PAUL G FREDRICKSON MD

Original Issue Date

08/15/1951

Effective Date

08/15/1951

Expiration Date

07/31/1993

City

MANITOWISH WATERS

State

Zip

54545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006