MARK D FRED Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296534

License Status

ACTIVE

Business

First Name

MARK D

Last Name

FRED

Business Name

MARK D FRED

Original Issue Date

04/25/1996

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

MONTICELLO

State

Zip

61856

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/23/2026