| | Physician Last Name: | Frederick |
| | Physician First Name: | Mark |
| | Physician Middle Name: | D |
| | Address: | Address redacted |
| | License Number: | 007400 |
| | License Type: | PA |
| | Year of Birth: |
1969
|
| | Effective Date: | 02/04/2010 |
| | Action Description for DOH Webpage: | License suspension for at least twelve months and until a modification order is issued staying the suspension with terms or conditions. |
| | Misconduct Description for DOH Webpage: | The physician assistant did not contest the charge of having been disciplined by the Alaska State Medical Board for illegally taking controlled substances and having a psychiatric condition that impairs his ability to practice medicine. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
