License holder summary

KEVIN DALE FREDERICK is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for KEVIN DALE FREDERICK is Northumberland PA 17857. This medical practitioner license is not current. The license was granted 05/04/2005 and expired on 06/30/2011.

Department of State

Board of Medicine

KEVIN DALE FREDERICK
Graduate Medical Trainee
License number
MT185839
Date granted
05/04/2005
Date expires
06/30/2011
Class
Graduate Medical Trainee
Status
Expired
Address
Northumberland PA 17857
medicinepa.com
ID 37531430
LAST UPDATED 2024-05-11 21:05:05 UTC

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