SR ANCELLE FREDERICKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041064909

License Status

INACTIVE

Business

First Name

SR ANCELLE

Last Name

FREDERICKS

Business Name

SR ANCELLE FREDERICKS

Original Issue Date

01/01/1997

Expiration Date

05/31/1990

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006