ERIN MARIE FREDERICH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009391

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

MARIE

Last Name

FREDERICH

Business Name

ERIN MARIE FREDERICH

Original Issue Date

05/27/2011

Effective Date

10/04/2013

Expiration Date

12/31/2015

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/08/2016