Mamie D. Fredrickson
Medical - Physician Assistant
Colorado 1418 Expired
This Colorado license was held by Mamie D. Fredrickson. The license is no longer active. It was granted on 04/13/2001 and expired on 01/31/2004
LICENSE DETAILS
- License Number: 1418
- Category: Physician Assistant
- Status: Expired
- Date Granted: 04/13/2001 (about 23 years ago)
- Expiry Date: 01/31/2004 (over 20 years ago)
LOCATIONS
A Address
408 NW 12TH #207, PORTLAND, OR, 97209-7209