Fred holds himself out to be a doctor.  However, he is not a…

Fred holds himself out to be a doctor.  However, he is not a doctor licensed by any state, as required by state statute.  He sends away for medications on the internet and then “prescribes” them to his patients.  He provides the medication to his patients for a small fee, so the patients do not have to be inconvenienced by going to the pharmacy. One of his patents suffers an adverse reaction to drugs dispensed by Fred.  Is Fred negligent per se as to this patient?  Why or Why not?