KATIE L FREDERICKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

FREDERICKSON

Business Name

KATIE L FREDERICKSON

Original Issue Date

09/20/2017

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021