STACEY L FREDRICKSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000608

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

FREDRICKSON

Business Name

STACEY L FREDRICKSON

Original Issue Date

09/07/1989

Expiration Date

12/31/1993

City

ST CLOUD

State

Zip

56301

County

MINNESOTA

Ever Disciplined

LastModifiedDate

07/28/2005