Idaho
Division of Occupational and Professional Licenses
Dr. JUSTIN ALLEN FREDERICK
Board Of Medicine
License number
M-11222
Date granted
02/16/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Integra Imaging PS SPOKANE WA 99204
idaholicensing.com
ID 48343542
LAST UPDATED 2024-02-27 21:06:03 UTC
LAST UPDATED 2024-02-27 21:06:03 UTC
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