ZANDRA K FRED - Physical Therapist License in Illinois | # 160002084

ZANDRA K FRED

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002084

License Status

INACTIVE

Business

N

First Name

ZANDRA K

Last Name

FRED

Business Name

ZANDRA K FRED

Original Issue Date

01/18/1995

Effective Date

08/28/2019

Expiration Date

09/30/2021

State

IL

Ever Disciplined

N

LastModifiedDate

08/28/2019