SUSAN XARISSA FRIEDRICHS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012659

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

XARISSA

Last Name

FRIEDRICHS

Business Name

SUSAN XARISSA FRIEDRICHS

Original Issue Date

09/18/2018

Effective Date

12/10/2019

Expiration Date

01/31/2022

City

PARK CITY

State

Zip

84098

County

UTAH

Ever Disciplined

LastModifiedDate

05/18/2022