DALE R FRERICKS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020555

License Status

ACTIVE

Business

First Name

DALE

Middle

Last Name

FRERICKS

Business Name

DALE R FRERICKS

Original Issue Date

02/21/2014

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2024