License holder summary

Mary Lucille Fredrickson is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Mary Lucille Fredrickson is 640 Jackson Street, Mail Stop 11109E, St. Paul, MN 55101. This doctor license is current. The license was granted 07/14/2012 and expired on 10/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Mary Lucille Fredrickson
Medical - Physician And Surgeon
License number
55278
Date granted
07/14/2012
Date expires
10/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
640 Jackson Street, Mail Stop 11109E, St. Paul, MN 55101
doctorsminnesota.org
ID 22208555
LAST UPDATED 2026-06-14 17:56:39 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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