BRIDGET RENEE FREDRICKSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002494

License Status

NOT RENEWED

Business

First Name

BRIDGET

Middle

RENEE

Last Name

FREDRICKSON

Business Name

BRIDGET RENEE FREDRICKSON

Original Issue Date

02/27/2004

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/31/2008