JEFFREY FREDERICK DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004216

License Status

INACTIVE

Business

First Name

JEFFREY

Last Name

FREDERICK

Suffix

DPM

Business Name

JEFFREY FREDERICK DPM

Original Issue Date

01/16/1988

Effective Date

01/16/1988

Expiration Date

01/31/1993

City

SOUTHFIELD

State

Zip

48075

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/25/2006