NANCY CAROL FREDERICKS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013681

License Status

EXPIRED

Business

First Name

NANCY CAROL

Last Name

FREDERICKS

Business Name

NANCY CAROL FREDERICKS

Original Issue Date

03/05/1982

Effective Date

03/05/1982

Expiration Date

02/26/1984

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006