MARIETTA M FRAZEE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

INACTIVE

Business

First Name

MARIETTA

Middle

Last Name

FRAZEE

Business Name

MARIETTA M FRAZEE

Original Issue Date

05/04/2023

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/16/2026