JOSEPH ANDREW FREDERICKSON - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 213000313

JOSEPH ANDREW FREDERICKSON

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000313

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Middle

ANDREW

Last Name

FREDERICKSON

Business Name

JOSEPH ANDREW FREDERICKSON

Original Issue Date

09/25/2013

Effective Date

07/14/2015

Expiration Date

09/30/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017