JOSEPH ANDREW FREDERICKSON Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000290

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

ANDREW

Last Name

FREDERICKSON

Business Name

JOSEPH ANDREW FREDERICKSON

Original Issue Date

03/16/2015

Effective Date

09/24/2015

Expiration Date

09/30/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/01/2017