LINDA LOUISE FREDERICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

ACTIVE

Business

First Name

LINDA

Middle

LOUISE

Last Name

FREDERICK

Business Name

LINDA LOUISE FREDERICK

Original Issue Date

06/07/2013

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

OAK PARK

State

Zip

60304

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/09/2025