The holder whose full name is Frederich, Michael Edwin,come from Redondo Beach CA,hold the Physician license(NO.01038733A) which status is Expired Non-Renewable.
| Name | Frederich, Michael Edwin |
|---|---|
| License Number | 01038733A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Redondo Beach |
| State | CA |