EUNICE D FREDRICKSON - Physical Therapist License in Illinois | # 160004490

EUNICE D FREDRICKSON

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004490

License Status

INACTIVE

Business

N

First Name

EUNICE

Middle

D

Last Name

FREDRICKSON

Business Name

EUNICE D FREDRICKSON

Original Issue Date

11/01/2005

Effective Date

07/13/2009

Expiration Date

09/30/2011

State

IL

Ever Disciplined

N

LastModifiedDate

07/07/2011