ETHAN JAMES FREDERICKS - Registered Nurse License in Illinois | # 041588389

ETHAN JAMES FREDERICKS

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041588389

License Status

ACTIVE

Business

N

First Name

ETHAN

Middle

JAMES

Last Name

FREDERICKS

Business Name

ETHAN JAMES FREDERICKS

Original Issue Date

06/18/2025

Effective Date

06/18/2025

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/01/2026