CARL A FREDRICKSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002409

License Status

INACTIVE

Business

First Name

CARL A

Last Name

FREDRICKSON

Business Name

CARL A FREDRICKSON

Original Issue Date

09/04/1981

Expiration Date

11/30/1987

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2007