KRISTEN RAE FREDERICI Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000389

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

RAE

Last Name

FREDERICI

Business Name

KRISTEN RAE FREDERICI

Original Issue Date

11/04/2022

Effective Date

07/08/2025

Expiration Date

09/30/2027

City

MONEE

State

Zip

60449

County

WILL

Ever Disciplined

LastModifiedDate

07/08/2025