CARL A FREDRICKSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005388

License Status

INACTIVE

Business

First Name

CARL A

Last Name

FREDRICKSON

Business Name

CARL A FREDRICKSON

Original Issue Date

05/03/1993

Expiration Date

11/30/1999

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005