WENDY ANN FREDERICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002199

License Status

ACTIVE

Business

First Name

WENDY

Middle

ANN

Last Name

FREDERICK

Business Name

WENDY ANN FREDERICK

Original Issue Date

12/26/2003

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

02/02/2026