MARK FREDERICK
Physician Assistant in North Bellport, NY

License number
Alaska PADA559
Issued Date
Oct 29, 2002
Effective Date
Dec 31, 2008
Expiration Date
Dec 31, 2010
Category
Physician Assistants
Address
Address
215 S Country Rd Dorm B RM 71, North Bellport, NY 11713
LicenseFiles verified this license of Nov 18, 2016 at the Alaska - Department of Commerce, Community, and Economic Development.