MALLORY CATHERINE FREDRICKS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016089

License Status

ACTIVE

Business

First Name

MALLORY

Middle

CATHERINE

Last Name

FREDRICKS

Business Name

MALLORY CATHERINE FREDRICKS

Original Issue Date

07/01/2024

Effective Date

11/19/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/19/2025