MEKENNA FREDERICK - Physician Assistant License in Illinois | # 085011483

MEKENNA FREDERICK

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011483

License Status

ACTIVE

Business

N

First Name

MEKENNA

Last Name

FREDERICK

Business Name

MEKENNA FREDERICK

Original Issue Date

07/31/2025

Effective Date

12/15/2025

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

12/15/2025