Arizona
Board of Licensing
Fredrick N. Southern MD
Medical Doctor
License number
30181
Date granted
04/03/2002
Class
Medical Doctor
Status
Canceled
Address
Naval Medical Center Portsmouth Director Surgical Services, 620 John Paul Jones Cir, Portsmouth VA 23708-2111
arizonalicensing.com
ID 22491407
LAST UPDATED 2026-05-31 14:52:52 UTC
LAST UPDATED 2026-05-31 14:52:52 UTC