License holder summary

Frederickson, Nicholas William is a Medical Physician/Surgeon Temporary licensed to practice in Missouri. This licensed professional license is current. The license was granted 06/06/2013 and expired on 06/30/2014.

Missouri

Division of Professional Registration

Frederickson, Nicholas William
Medical Physician/Surgeon Temporary
License number
2013016998  
Date granted
06/06/2013
Date expires
06/30/2014
Class
Medical Physician/Surgeon Temporary
Status
Clear
licensingmissouri.org
ID 2091073
LAST UPDATED 2026-06-01 06:57:06 UTC

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