License holder summary

DUANE ALISTAN FREDERICKS is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for DUANE ALISTAN FREDERICKS is *NO CITY PA 00000. This medical practitioner license is not current. The license was granted 05/30/1996 and expired on 07/23/2004.

Department of State

Board of Medicine

DUANE ALISTAN FREDERICKS
Graduate Medical Trainee
License number
MT037807T
Date granted
05/30/1996
Date expires
07/23/2004
Class
Graduate Medical Trainee
Status
Expired
Address
*NO CITY PA 00000
medicinepa.com
ID 37530863
LAST UPDATED 2026-05-21 01:02:30 UTC

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