JESSICA ANNE FREDERICK - Physical Therapist License in Illinois | # 070024841

JESSICA ANNE FREDERICK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024841

License Status

NOT RENEWED

Business

N

First Name

JESSICA

Middle

ANNE

Last Name

FREDERICK

Business Name

JESSICA ANNE FREDERICK

Original Issue Date

11/13/2019

Effective Date

09/02/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022