JOHN TIMOTHY FREDERICK JR Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000254

License Status

ACTIVE

Business

First Name

JOHN

Middle

TIMOTHY

Last Name

FREDERICK

Suffix

Business Name

JOHN TIMOTHY FREDERICK JR

Original Issue Date

09/13/2011

Effective Date

07/08/2025

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/08/2025