EUNICE D FREDRICKSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004490

License Status

INACTIVE

Business

First Name

EUNICE

Middle

Last Name

FREDRICKSON

Business Name

EUNICE D FREDRICKSON

Original Issue Date

11/01/2005

Effective Date

07/13/2009

Expiration Date

09/30/2011

City

CARBONDALE

State

Zip

62902

County

MADISON

Ever Disciplined

LastModifiedDate

07/07/2011