License holder summary

II DONALD DARYL FREDERICKSEN is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for II DONALD DARYL FREDERICKSEN is CLARKSTON WA 99403. This licensed professional license is current. The license was granted 08/06/1992 and expired on 02/11/2017.

Idaho

Division of Occupational and Professional Licenses

II DONALD DARYL FREDERICKSEN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 665
Date granted
08/06/1992
Date expires
02/11/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
CLARKSTON WA 99403
idaholicensing.com
ID 43731227
LAST UPDATED 2026-05-23 07:46:32 UTC

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