The holder whose full name is Fredgren, Tina Lorranie,come from O Fallon MO,hold the Phys Ther Assistant license(NO.06001458A) which status is Expired.
| Name | Fredgren, Tina Lorranie |
|---|---|
| License Number | 06001458A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | O Fallon |
| State | MO |