KRISTINA FREDERICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010878

License Status

ACTIVE

Business

First Name

KRISTINA

Last Name

FREDERICK

Business Name

KRISTINA FREDERICK

Original Issue Date

10/07/2024

Effective Date

03/03/2026

Expiration Date

03/01/2028

City

ENCINITAS

State

Zip

92024

Ever Disciplined

LastModifiedDate

03/03/2026