DARLENE L FREDERICK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

NOT RENEWED

Business

First Name

DARLENE

Middle

Last Name

FREDERICK

Business Name

DARLENE L FREDERICK

Original Issue Date

11/20/2002

Effective Date

07/29/2022

Expiration Date

06/30/2024

City

NEW LENOX

State

Zip

60451

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025