MATTHEW DOUGLAS FREDERICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041406788

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

DOUGLAS

Last Name

FREDERICK

Business Name

MATTHEW DOUGLAS FREDERICK

Original Issue Date

10/22/2012

Effective Date

04/21/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016