STACEY L FREDRICKSON - Occupational Therapist License in Minnesota | # 057000608

STACEY L FREDRICKSON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000608

License Status

NOT RENEWED

Business

N

First Name

STACEY L

Last Name

FREDRICKSON

Business Name

STACEY L FREDRICKSON

Original Issue Date

09/07/1989

Expiration Date

12/31/1993

State

MN

Ever Disciplined

N

LastModifiedDate

07/28/2005