EUNICE D FREDRICKSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017473

License Status

ACTIVE

Business

First Name

EUNICE

Middle

Last Name

FREDRICKSON

Business Name

EUNICE D FREDRICKSON

Original Issue Date

10/13/2009

Effective Date

07/19/2024

Expiration Date

09/30/2026

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

07/19/2024