ZANDRA K FRED Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002084

License Status

INACTIVE

Business

First Name

ZANDRA K

Last Name

FRED

Business Name

ZANDRA K FRED

Original Issue Date

01/18/1995

Effective Date

08/28/2019

Expiration Date

09/30/2021

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

08/28/2019