CARLY JANE FRERICHS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027469

License Status

ACTIVE

Business

First Name

CARLY

Middle

JANE

Last Name

FRERICHS

Business Name

CARLY JANE FRERICHS

Original Issue Date

05/25/2023

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

ST. JOSEPH

State

Zip

61873

Ever Disciplined

LastModifiedDate

07/03/2024