License holder summary

IVY ELAINE FREDERICK is a Optometrist - Therapeutics licensed to practice in Pennsylvania. The address on file for IVY ELAINE FREDERICK is ELLWOOD CITY PA 16117. This licensed professional license is not current. The license was granted 06/30/1999 and expired on 11/30/2010.

Pennsylvania

Department of State

IVY ELAINE FREDERICK
Optometrist - Therapeutics
License number
OE008339T
Date granted
06/30/1999
Date expires
11/30/2010
Class
Optometrist - Therapeutics
Status
Voided
Address
ELLWOOD CITY PA 16117
palicensing.org
ID 16963387
LAST UPDATED 2024-03-23 11:58:33 UTC

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