DIANE KATHRYN FREDERICK - Registered Nurse License in Indiana | # 041307365

DIANE KATHRYN FREDERICK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041307365

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

KATHRYN

Last Name

FREDERICK

Business Name

DIANE KATHRYN FREDERICK

Original Issue Date

01/02/1998

Effective Date

03/13/2018

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021