Utah
Division of Occupational and Professional Licensing
JUSTIN ALLEN FREDERICK
Physician - Physician & Surgeon
License number
332272-1205
Date granted
01/08/2009
Date expires
01/31/2012
Class
Physician - Physician & Surgeon
Status
Expired
Address
LIBERTY LAKE, WA 99019
utahlicensing.org
ID 29927624
LAST UPDATED 2024-02-20 15:47:58 UTC
LAST UPDATED 2024-02-20 15:47:58 UTC
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