ANNELISE NICOLE FREDERICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

ACTIVE

Business

First Name

ANNELISE

Middle

NICOLE

Last Name

FREDERICK

Business Name

ANNELISE NICOLE FREDERICK

Original Issue Date

09/09/2024

Effective Date

09/09/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026