Massachusetts
Division of Professional Licensure
Kirt Frederickson
Board Of Registration In Medicine
License number
209791
Date granted
05/23/2001
Date expires
05/29/2004
Class
Board Of Registration In Medicine
Status
Lapsed
licensingma.org
ID 41428054
LAST UPDATED 2026-05-21 02:46:42 UTC
LAST UPDATED 2026-05-21 02:46:42 UTC
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