RACHEL LEE FREDERICKSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001833

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

LEE

Last Name

FREDERICKSON

Business Name

RACHEL LEE FREDERICKSON

Original Issue Date

08/05/2002

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

PARKER

State

Zip

80134

County

COLORADO

Ever Disciplined

LastModifiedDate

05/10/2018