DONNA M FREDERICK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007238

License Status

NOT RENEWED

Business

First Name

DONNA M

Last Name

FREDERICK

Business Name

DONNA M FREDERICK

Original Issue Date

10/19/1992

Effective Date

09/18/2008

Expiration Date

09/30/2010

City

ST LOUIS

State

Zip

63125

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/08/2010