License holder summary

MARK DOUGLAS FREDERICK is a Physician Assistants - Licensed Physician Assistant licensed to practice in Alaska. The address on file for MARK DOUGLAS FREDERICK is 215 SOUTH COUNTRY ROAD DORM B RM 71 BELLPORT NY 11713. This licensed professional license is current. The license was granted 10/29/2002 and expired on 12/31/2010.

Alaska

Division of Corporations, Business and Professional Licensing

MARK DOUGLAS FREDERICK
Physician Assistants - Licensed Physician Assistant
License number
559
Date granted
10/29/2002
Date expires
12/31/2010
Class
Physician Assistants - Licensed Physician Assistant
Status
Licensed
Address
215 SOUTH COUNTRY ROAD DORM B RM 71 BELLPORT NY 11713
alaskalicensing.com
ID 20413661
LAST UPDATED 2026-03-28 03:09:29 UTC

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