LANCE RAYMOND FREDRICKSON - Advanced Practice Nurse License in Missouri | # 209007323

LANCE RAYMOND FREDRICKSON

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007323

License Status

NOT RENEWED

Business

N

First Name

LANCE

Middle

RAYMOND

Last Name

FREDRICKSON

Business Name

LANCE RAYMOND FREDRICKSON

Original Issue Date

10/28/2008

Effective Date

10/28/2008

Expiration Date

05/31/2010

State

MO

Ever Disciplined

N

LastModifiedDate

08/11/2010